Provider Demographics
NPI:1114611316
Name:LEIMKUEHLER ORTHOTIC-PROSTHETIC CENTER,INC.
Entity Type:Organization
Organization Name:LEIMKUEHLER ORTHOTIC-PROSTHETIC CENTER,INC.
Other - Org Name:LEIMKUEHLER ORTHOTIC-PROSTHETIC CENTER, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIMKUEHLER
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:440-988-5770
Mailing Address - Street 1:205 N LEAVITT RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:OH
Mailing Address - Zip Code:44001-1124
Mailing Address - Country:US
Mailing Address - Phone:440-988-5770
Mailing Address - Fax:
Practice Address - Street 1:723 PHILLIPS AVE BLDG F
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43612-1351
Practice Address - Country:US
Practice Address - Phone:419-476-4248
Practice Address - Fax:419-476-6655
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEIMKUEHLER ORTHOTIC-PROSTHETIC CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-08
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier