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 JANISSE (OPERATIONS MANAGER)
(414) 438-1216
Entity
Organization
Contact information
Practice address
2745 W LAYTON AVE, SUITE 103, MILWAUKEE, WI 53221-2651
(414) 282-8888
(414) 282-8188
Mailing address
7283 W APPLETON AVE, MILWAUKEE, WI 53216-1932
(414) 438-1216
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41792900
—
WI
Enumeration date
08/19/2006
Last updated
12/18/2012
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