Organization
PA ARTIFICIAL LIMB & BRACE CO., INC
Active
Other names
Artificial Limb & Brace of Ashtabula
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A CUMMINGS (SECRETARY/TREASURER)
(814) 868-5231
Entity
Organization
Contact information
Practice address
4859 N RIDGE W, ASHTABULA, OH 44004-9409
(440) 969-1144
(814) 868-5232
Mailing address
224 W 26TH ST, ERIE, PA 16508-1806
(814) 868-5231
(814) 868-5232
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
LPO-294
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000154842
ANTHEM
OH
05
—
0342212
—
OH
01
—
219593
UPMC
ND
01
—
287952
HIGHMARK
OH
01
—
8675613
CIGNA
OH
Enumeration date
08/09/2006
Last updated
02/28/2017
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