Organization
INNOVATIVE PROSTHETICS & ORTHOTICS
Active
Organization
INNOVATIVE PROSTHETICS & ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHVINI SENGAR MD (DIRECTOR)
(402) 460-5899
Entity
Organization
Contact information
Practice address
2130 S 17TH ST, SUITE 100, LINCOLN, NE 68502-3750
(402) 461-4931
Mailing address
2130 S 17TH ST, SUITE 100, LINCOLN, NE 68502-3750
(402) 461-4931
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09896
BLUE CROSS BLUE SHIELD
NE
05
—
200387920A
—
KS
01
—
F228642
MIDLANDS CHOICE
NE
Enumeration date
11/20/2006
Last updated
05/08/2008
Update your record
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