Organization
PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC
Active
Parent organization
PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC
Other names
Presque Isle Medical Technologies
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC
Authorized official
SOLOMON HEIFETZ (DIRECTOR OF OPERATIONS)
(301) 681-8658
Entity
Organization
Contact information
Practice address
718 HORTON DR, SILVER SPRING, MD 20902-3009
(301) 681-8658
(866) 536-2954
Mailing address
2101 RICHMOND RD STE 1000, BEACHWOOD, OH 44122-1390
(216) 371-0660
(866) 536-2954
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052595200
—
MD
Enumeration date
03/05/2013
Last updated
05/10/2021
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