Organization
PA ARTIFICIAL LIMB & BRACE CO., INC..
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM C CUMMINGS C.P.O. (OWNER)
(724) 588-6860
Entity
Organization
Contact information
Practice address
111 N MAIN ST, GREENVILLE, PA 16125-1705
(724) 588-6860
(814) 868-5232
Mailing address
224 W 26TH ST, ERIE, PA 16508-1806
(814) 868-5231
(814) 868-5232
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005681300001
—
PA
Enumeration date
10/28/2010
Last updated
06/30/2016
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