Organization
MIDWEST ORTHOTIC & TECHNOLOGY CENTER OMAHA, LLC
Active
Parent organization
MIDWEST ORTHOTIC SERVICES, LLC
Other names
TRUST ORTHOTIC TECHNOLOGIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST ORTHOTIC SERVICES, LLC
Authorized official
BERNIE T VELDMAN C.O. (MANAGING PARTNER)
(574) 233-3352
Entity
Organization
Contact information
Practice address
11225 DAVENPORT ST, SUITE 106, OMAHA, NE 68154-2641
(402) 933-3942
(402) 964-2926
Mailing address
17530 DUGDALE DR, SOUTH BEND, IN 46635-1583
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1--25653000
—
NE
Enumeration date
02/25/2008
Last updated
11/24/2010
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