Organization · NPI-2

Amputee Care Center,inc.

Durable Medical Equipment & Medical Supplies, Customized Equipment · Fishers, IN

NPI number1275514440
StatusActive
Last updated in NPPESApr 20, 2008

Details

NPI
1275514440
Entity type
Organization (NPI-2)
Legal business name
Amputee Care Center,inc.
Organization subpart
No
Enumeration date
Nov 7, 2005
Last updated
Apr 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment––Yes

Practice location

9780 Lantern Rd
Suite 140
Fishers, IN 46037-4092

Phone 317-598-9557 · Fax 317-598-2611

Mailing address

9780 Lantern Rd
Suite 140
Fishers, IN 46037-4092

Phone 317-598-9557 · Fax 317-598-2611

Authorized official

Mark T Damico
President/Certified Prosthetist
3175989557

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