Organization · NPI-2

Elevation Prosthetics And Orthotics, INC.

Prosthetic/Orthotic Supplier · Roseville, CA

NPI number1821564501
StatusActive
Last updated in NPPESOct 19, 2018

Details

NPI
1821564501
Entity type
Organization (NPI-2)
Legal business name
Elevation Prosthetics And Orthotics, INC.
Organization subpart
No
Enumeration date
Oct 19, 2018
Last updated
Oct 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

106 N Sunrise Ave Ste C8
Roseville, CA 95661-2914

Phone 916-297-7853

Mailing address

106 N Sunrise Ave Ste C8
Roseville, CA 95661-2914

Authorized official

Michael Carlson
President
9162977853

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