Organization
TRI-STATE PROSTHETIC ORTHOTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J ZONES (OWNER)
(304) 529-2097
Entity
Organization
Contact information
Practice address
821 6TH AVE, HUNTINGTON, WV 25701-2107
(304) 529-2097
Mailing address
PO BOX 2426, HUNTINGTON, WV 25725-2426
(304) 529-2097
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
10387704
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148359000
—
WV
05
—
0554074
—
OH
05
—
90269010
—
KY
Enumeration date
02/28/2008
Last updated
02/28/2008
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