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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