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Organization

TRINITY ORTHOTICS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DONNA PAULINE MAHAN (PRESIDENT)
(513) 771-2603
Entity
Organization

Contact information

Practice address
230 NORTHLAND BLVD, SUITE 231, CINCINNATI, OH 45246-3600
(513) 771-2603
Mailing address
230 NORTHLAND BLVD, SUITE 231, CINCINNATI, OH 45246-3600
(513) 771-2603

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5265100001
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000359414
ANTHEM BC/BS
OH
05
2519920
OH
01
82-00654
EVERCARE
OH
05
90009598
KY
Enumeration date
06/16/2005
Last updated
02/21/2008
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