Provider Demographics
NPI:1174282230
Name:CORNERSTONE PROSTHETICS AND ORTHOTICS, INC
Entity Type:Organization
Organization Name:CORNERSTONE PROSTHETICS AND ORTHOTICS, INC
Other - Org Name:ADVANCE PROSTHETIC SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-339-2559
Mailing Address - Street 1:101 E HASTINGS RD STE J
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-4901
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:425-276-2039
Practice Address - Street 1:101 E HASTINGS RD STE J
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-4901
Practice Address - Country:US
Practice Address - Phone:425-523-9679
Practice Address - Fax:425-276-2039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-15
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies