Provider Demographics
NPI:1124042726
Name:MORFEY'S PROSTHETIC CENTER INC
Entity Type:Organization
Organization Name:MORFEY'S PROSTHETIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORFEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-554-8221
Mailing Address - Street 1:11109 W BLUEMOUND RD
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4124
Mailing Address - Country:US
Mailing Address - Phone:414-258-4311
Mailing Address - Fax:414-258-4321
Practice Address - Street 1:6226 BANKERS RD
Practice Address - Street 2:SUITE 2
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53403-9799
Practice Address - Country:US
Practice Address - Phone:262-554-8221
Practice Address - Fax:414-258-4321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41616700Medicaid
WI0311930001Medicare ID - Type Unspecified