Organization
BREAKEY PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE DENNIS GIDDING CP (PRESIDENT)
(408) 723-0883
Entity
Organization
Contact information
Practice address
820 MALONE RD, SAN JOSE, CA 95125-2639
(408) 723-0883
(408) 723-0890
Mailing address
820 MALONE RD, SAN JOSE, CA 95125-2639
(408) 723-0883
(408) 723-0890
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GFB000040
—
CA
Enumeration date
07/26/2005
Last updated
09/30/2012
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