Organization
SCHECK & SIRESS PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE ANGELINE (REG COMPLIANCE SPECIALIST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
6629 W LINCOLN HWY STE 1, SCHERERVILLE, IN 46375
(219) 864-9501
(219) 864-9502
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
0006049699
IN
335E00000X
Prosthetic/Orthotic Supplier
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
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—
IL
Enumeration date
04/21/2006
Last updated
02/08/2021
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