Summit City Prosthetics & Orthotics INC
NPI #1184205379 in South Bend, Indiana
Provider Information
- NPI Number
- 1184205379
- Entity Type
- Organization
- Organization Name
- Summit City Prosthetics & Orthotics INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUMMIT CITY PROSTHETICS & ORTHOTICS, INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Apr 19, 2021
- Last Updated
- Apr 19, 2021
Practice Location
- Address
- 16597 STATE ROAD 23 STE 2
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46635-1461
- Phone
- (574) 855-1488
Authorized Official
- Name
- MR. SHAWN DEE BROWN, CPO
- Title
- PRESIDENT
- Phone
- (260) 312-1746
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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