Organization
ASCENDANT ORTHOPEDIC ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE A KERWIN (CFO)
(574) 206-8069
Entity
Organization
Contact information
Practice address
60160 BODNAR BLVD, MISHAWAKA, IN 46544-9338
(574) 247-9441
(574) 247-9442
Mailing address
2310 CALIFORNIA RD STE A, ELKHART, IN 46514-1228
(574) 264-0791
(574) 262-9650
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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