Organization
3D PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCINDA B BUSCH CP, LP (SR. ADMINISTRATIVE SPECIALIST)
(765) 756-5014
Entity
Organization
Contact information
Practice address
2011 CHESTER BLVD, RICHMOND, IN 47374-1214
(765) 488-1165
Mailing address
2011 CHESTER BLVD, RICHMOND, IN 47374-1214
(765) 488-1165
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/29/2021
Last updated
12/19/2023
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