Organization
CLARKSVILLE LIMB & BRACE & REHAB., INC.
Active
Parent organization
BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC
Other names
Kentucky Prosthetics & Orthotics
Organization subpart
Yes
Provider details
NPI number
Legal business name
BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC
Authorized official
SUMESH SAXENA (OWNER)
(219) 791-9200
Entity
Organization
Contact information
Practice address
1169 EASTERN PKWY STE 4423, LOUISVILLE, KY 40217-1429
(502) 585-4228
Mailing address
3803 E LINCOLN HWY, MERRILLVILLE, IN 46410-5809
(219) 840-5595
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0127980006
NSC
—
Enumeration date
03/22/2022
Last updated
07/26/2022
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