Organization
MAINE ARTIFICIAL LIMB & ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC NICHOLAS KARN C.P. (C.E.O.)
(207) 773-4963
Entity
Organization
Contact information
Practice address
959 BRIGHTON AVE, PORTLAND, ME 04102-1020
(207) 773-4963
Mailing address
959 BRIGHTON AVE, PORTLAND, ME 04102-1020
(207) 773-4963
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106660000
—
ME
Enumeration date
07/02/2006
Last updated
05/21/2009
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