Provider Demographics
NPI:1235121021
Name:FINDLAY AMERICAN PROSTHETIC ORTHOTIC CENTRE
Entity Type:Organization
Organization Name:FINDLAY AMERICAN PROSTHETIC ORTHOTIC CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:N
Authorized Official - Last Name:BERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:419-424-1622
Mailing Address - Street 1:12474 COUNTY ROAD 99
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-9736
Mailing Address - Country:US
Mailing Address - Phone:419-424-1622
Mailing Address - Fax:419-424-5744
Practice Address - Street 1:12474 COUNTY ROAD 99
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-9736
Practice Address - Country:US
Practice Address - Phone:419-424-1622
Practice Address - Fax:419-424-5744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-17
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0148230001Medicare NSC