Organization
ALLAN ARTIFICIAL LIMBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN DAVID SCHULZE C.P. (CERTIFIED PROSTHETIST/OWNER)
(217) 221-8991
Entity
Organization
Contact information
Practice address
926 BROADWAY ST, SUITE 3, QUINCY, IL 62301-2730
(217) 221-8991
(217) 221-8982
Mailing address
926 BROADWAY ST, SUITE 3, QUINCY, IL 62301-2730
(217) 221-8991
(217) 221-8982
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
211-000154
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00132016
BC/BS DMEPOS
IL
01
—
074309
RIVERQUEST DMEPOS
IL
05
—
626049209
—
MO
Enumeration date
05/13/2006
Last updated
04/20/2008
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