1316018021 NPI number — ALLIED ORTHOPEDIC APPLIANCES INC.

Table of content: (NPI 1316018021)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316018021 NPI number — ALLIED ORTHOPEDIC APPLIANCES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLIED ORTHOPEDIC APPLIANCES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316018021
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/15/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1647 SASSAFRAS ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ERIE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16502-1858
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-877-6121
Provider Business Mailing Address Fax Number:
814-459-1858

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
37 W MAIN ST
Provider Second Line Business Practice Location Address:
LOWER STE
Provider Business Practice Location Address City Name:
FREDONIA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14063-2135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-672-4704
Provider Business Practice Location Address Fax Number:
716-672-4706
Provider Enumeration Date:
11/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DUBOWSKI
Authorized Official First Name:
KATHY
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
814-877-6121

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332BP3500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8208101 . This is a "IHA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 10325460 . This is a "FIDELIS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000076933 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 00011204301 . This is a "UNIVERA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 02769799 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0551090001 . This is a "BC AND BS OF WNY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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