Organization
ORTHOSOURCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE RONSPIES ATC (MANAGER/ATHLETIC TRAINER)
(402) 861-6683
Entity
Organization
Contact information
Practice address
13839 INDUSTRIAL RD, OMAHA, NE 68137-1117
(402) 408-0777
(402) 933-5523
Mailing address
13839 INDUSTRIAL RD, OMAHA, NE 68137-1117
(402) 408-0777
(402) 933-5523
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036957
BLUE CROSS BLUE SHIELD
NE
05
—
0571273
—
IA
Enumeration date
12/01/2005
Last updated
08/23/2016
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