Donna Jeanne Erisman

Prosthetic/Orthotic Supplier in Joplin, MO. Organization (NPI-2).

NPI number1992867212

StatusActive

Last updated in NPPESMay 21, 2020

Details

NPI: 1992867212
Entity type: Organization (NPI-2)
Legal business name: Donna Jeanne Erisman
Organization subpart: No
Enumeration date: Dec 14, 2006
Last updated: May 21, 2020

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
335E00000X	Prosthetic/Orthotic Supplier	–	–	Yes

Other names

New Life (Doing Business As)

Practice location

3420 Tana St
Joplin, MO 64804-5450

Phone 417-624-4754

Mailing address

3420 Tana St
Joplin, MO 64804-5450

Phone 417-624-4754

Authorized official

Donna Jeanne Erisman
Owner
4176244754

Is something wrong?

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Other Prosthetic/Orthotic Supplier providers in Joplin, MO

All 10 Prosthetic/Orthotic Supplier providers in Joplin · All 3,057 providers in Joplin

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