Organization
FIDELITY ORTHOPEDIC INC
Active
Parent organization
FIDELITY ORTHOPEDIC INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIDELITY ORTHOPEDIC INC.
Authorized official
MR. MARK MURKA (DIRECTOR)
(937) 228-0682
Entity
Organization
Contact information
Practice address
7677 YANKEE ST, SUITE 210, CENTERVILLE, OH 45459-3475
(937) 435-7041
(937) 228-8193
Mailing address
8514 N. MAIN ST., DAYTON, OH 45415-1325
(937) 228-0682
(937) 228-8193
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2307417
—
OH
Enumeration date
02/13/2006
Last updated
11/24/2020
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