Organization · NPI-2

Advanced Orthopro, INC

Prosthetic/Orthotic Supplier · Indianapolis, IN

NPI number1730141110
StatusActive
Last updated in NPPESApr 26, 2022

Details

NPI
1730141110
Entity type
Organization (NPI-2)
Legal business name
Advanced Orthopro, INC
Organization subpart
Yes
Enumeration date
Apr 3, 2006
Certification date
Apr 26, 2022
Last updated
Apr 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes
332B00000X Durable Medical Equipment & Medical Supplies––

Practice location

1820 N Illinois St
Indianapolis, IN 46202-1318

Phone 317-924-4444 · Fax 317-920-3179

Mailing address

Po Box 650846
Dallas, TX 75265-0846

Authorized official

Grace Angeline
Reg Compliance Specialist IV
7149612102

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