Organization
PROSTHETIC & ORTHOTIC GROUP OF NORTHERN CO., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN SABEL (CEO)
(970) 416-9357
Entity
Organization
Contact information
Practice address
2290 E PROSPECT RD, SUITE 2, FORT COLLINS, CO 80525-9768
(970) 416-9357
(970) 416-9359
Mailing address
2290 E PROSPECT RD STE 2, FORT COLLINS, CO 80525-9768
(970) 416-9357
(970) 416-9359
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117338300
—
WY
05
—
46150544
—
CO
Enumeration date
05/26/2006
Last updated
05/14/2026
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