Organization
ULTRA PROSTHETICS
Active
Other names
Daniel O. Haney
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL O HANEY C.P. (OWNER)
(800) 858-7576
Entity
Organization
Contact information
Practice address
20 AFFONSO DR STE G, CARSON CITY, NV 89706-7794
(800) 858-7276
(775) 882-1561
Mailing address
PO BOX 22201, CARSON CITY, NV 89721-2201
(800) 858-7276
(775) 882-1561
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
72165
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003313022
—
NV
01
—
037033838
RESALE TAX NUMBER
NV
Enumeration date
10/17/2006
Last updated
12/14/2015
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