Organization
ORTHO MEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB W SIKES C.O. (C.O.)
(308) 237-6105
Entity
Organization
Contact information
Practice address
8 W 56TH ST, KEARNEY, NE 68847-0503
(308) 237-6105
(308) 237-6106
Mailing address
8 W 56TH ST, KEARNEY, NE 68847-0503
(308) 237-6105
(308) 237-6106
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
—
10025525800
—
NE
Enumeration date
03/26/2007
Last updated
11/29/2007
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