Munster Orthopaedic Institute, LLC
Durable Medical Equipment & Medical Supplies in Saint John, IN. Organization (NPI-2).
NPI number1114257599
StatusActive
Last updated in NPPESDec 21, 2012
Details
- NPI
- 1114257599
- Entity type
- Organization (NPI-2)
- Legal business name
- Munster Orthopaedic Institute, LLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2010
- Last updated
- Dec 21, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 01054586A | IN | Yes |
Practice location
9660 Wicker AveSaint John, IN 46373-9487
Phone 219-836-2225 · Fax 219-836-3158
Mailing address
9136 Columbia AveMunster, IN 46321-2907
Phone 219-836-2225 · Fax 219-836-3158
Authorized official
Jeffrey Manuel Tioco
Owner/Physician
2198362225
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