Organization
CAPITAL ORTHOTICS & PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JOHN CAGLE (BUSINESS MANAGER)
(603) 226-0106
Entity
Organization
Contact information
Practice address
246 PLEASANT ST, SUITE 200, CONCORD, NH 03301-2548
(603) 226-0106
(603) 226-0845
Mailing address
70 BUTLER ST, SALEM, NH 03079-3925
(800) 416-0106
(603) 226-0845
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
GREAT WEST
NH
05
—
1006572
—
VT
01
—
1209857Y0NH01
ANTHEM
NH
05
—
30760132
—
NH
01
—
703776
HARVARD PILGRIM
NH
Enumeration date
02/01/2012
Last updated
02/01/2012
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