Organization · NPI-2

Streamline Orthopedic, INC.

Prosthetic/Orthotic Supplier · Roseville, CA

NPI number1295077865
StatusActive
Last updated in NPPESJun 28, 2022

Details

NPI
1295077865
Entity type
Organization (NPI-2)
Legal business name
Streamline Orthopedic, INC.
Organization subpart
No
Enumeration date
Mar 21, 2013
Certification date
Jun 28, 2022
Last updated
Jun 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

125 Ascot Dr Ste E
Roseville, CA 95661-3408

Phone 916-488-1478 · Fax 916-488-1807

Mailing address

125 Ascot Dr Ste E
Roseville, CA 95661-3408

Phone 916-488-1478 · Fax 916-488-1807

Authorized official

Mike T Martinez
President
9164881478

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