Organization
NATIONAL PEDORTHIC SERVICES, INC.
Active
Parent organization
NATIONAL PEDORTHIC SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL PEDORTHIC SERVICES, INC.
Authorized official
MRS. NICOLE S JANISSE (CORPORATE FACILITY MANAGER)
(414) 438-1211
Entity
Organization
Contact information
Practice address
4804 S STATE ROUTE 159, SUITE A, GLEN CARBON, IL 62034-1904
(414) 438-1211
Mailing address
7283 W APPLETON AVE, MILWAUKEE, WI 53216-1932
(414) 438-1211
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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