Bi-State Orthotics & Prosthetics
NPI #1154462950 in Belleville, Illinois
Provider Information
- NPI Number
- 1154462950
- Entity Type
- Organization
- Organization Name
- Bi-State Orthotics & Prosthetics
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Jun 26, 2008
Practice Location
- Address
- 6400 W MAIN ST
- Address 2
- SUITE 3G
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-3806
- Phone
- (314) 843-2664
Authorized Official
- Name
- MR. MICHAEL J NIEDER, C.O.
- Title
- VICE PRESIDENT
- Phone
- (314) 843-2664
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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