Organization
INDIANA ORTHOPEDICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH J FURTO C.P.O. (PRESIDENT/ORTHOTIST/PROSTHETIST)
(219) 924-2044
Entity
Organization
Contact information
Practice address
437 N BROAD ST, GRIFFITH, IN 46319-2223
(219) 924-2044
(219) 924-2109
Mailing address
437 N BROAD ST, GRIFFITH, IN 46319-2223
(219) 924-2044
(219) 924-2109
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097284
ANTHEM BC/BS
IN
01
—
80000142
BC/BS HMO IL
IN
Enumeration date
06/15/2005
Last updated
08/22/2020
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