Organization
NORTH COAST ORTHOTICS AND PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY J. YAKOVICH C.O. (PRESIDENT)
(440) 233-4314
Entity
Organization
Contact information
Practice address
15900 SNOW RD, ST# 400, BROOKPARK, OH 44142-2859
(877) 236-5501
Mailing address
6100 S BROADWAY, ST# 104, LORAIN, OH 44053-3874
(440) 233-4314
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2815387
—
OH
Enumeration date
02/23/2006
Last updated
10/25/2011
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