Organization
BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMESH SAXENA (OWNER)
(219) 791-9200
Entity
Organization
Contact information
Practice address
1901 BRUNSWICK AVE STE 240, CHARLOTTE, NC 28207-2807
(704) 348-4488
(704) 348-4496
Mailing address
3803 E LINCOLN HWY, MERRILLVILLE, IN 46410-5809
(219) 791-9200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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