1326244039 NPI number — ROTHSCHILD'S ORTHOPEDIC APPLIANCES

Table of content: (NPI 1326244039)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326244039 NPI number — ROTHSCHILD'S ORTHOPEDIC APPLIANCES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROTHSCHILD'S ORTHOPEDIC APPLIANCES
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:
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:
1326244039
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 MILL ST
Provider Second Line Business Mailing Address:
UNIT C
Provider Business Mailing Address City Name:
SALISBURY
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21801-4242
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-546-5502
Provider Business Mailing Address Fax Number:
410-546-5545

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1503 SANTA ROSA RD
Provider Second Line Business Practice Location Address:
SUITE 106
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23229-5105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-285-1204
Provider Business Practice Location Address Fax Number:
410-546-5545
Provider Enumeration Date:
06/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ROTHSCHILD
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
Authorized Official Title or Position:
OPERATING OFFICE
Authorized Official Telephone Number:
410-546-5502

Provider Taxonomy Codes

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

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

  • Identifier: K185 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 73140 . This is a "AMERICHOICE PROVIDER" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com