Organization
NATIONAL PEDORTHIC SERVICES, INC.
Active
Parent organization
NATIONAL PEDORTHIC SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL PEDORTHIC SERVICES, INC
Authorized official
NICOLE S JANISSE (OPERATIONS MANAGER)
(414) 438-1216
Entity
Organization
Contact information
Practice address
727 N NEW BALLAS RD, CREVE COEUR, MO 63141-6715
(314) 983-9453
(314) 983-9457
Mailing address
7283 W APPLETON AVE, MILWAUKEE, WI 53216-1932
(414) 438-1216
(414) 438-1051
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
623894300
—
MO
Enumeration date
08/19/2006
Last updated
12/18/2012
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