Organization · NPI-2
3d Prosthetics, LLC
Prosthetist · Richmond, IN
NPI number1679156699
StatusActive
Last updated in NPPESDec 19, 2023
Details
- NPI
- 1679156699
- Entity type
- Organization (NPI-2)
- Legal business name
- 3d Prosthetics, LLC
- Organization subpart
- No
- Enumeration date
- Apr 29, 2021
- Certification date
- Dec 19, 2023
- Last updated
- Dec 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | – | – | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | – | – |
Practice location
2011 Chester BlvdRichmond, IN 47374-1214
Phone 765-488-1165
Mailing address
2011 Chester BlvdRichmond, IN 47374-1214
Phone 765-488-1165
Authorized official
Lucinda B Busch
Sr. Administrative Specialist
7657565014
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