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Organization

ASHLAND PROSTHETIC & ORTHOTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERVIN L STEPP LPO (CEO LICENSED PROSTHETIST/ORTHOTIST)
(606) 324-5786
Entity
Organization

Contact information

Practice address
2816 CARTER AVE, ASHLAND, KY 41101
(606) 324-5786
(606) 324-5876
Mailing address
PO BOX 510, ASHLAND, KY 41105-0510
(606) 324-5786
(606) 324-5876

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
BL200612
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
90080102
KY
Enumeration date
10/05/2006
Last updated
03/31/2016
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