Provider Demographics
NPI:1326244039
Name:ROTHSCHILD'S ORTHOPEDIC APPLIANCES
Entity Type:Organization
Organization Name:ROTHSCHILD'S ORTHOPEDIC APPLIANCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTHSCHILD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-546-5502
Mailing Address - Street 1:300 MILL ST
Mailing Address - Street 2:UNIT C
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-4242
Mailing Address - Country:US
Mailing Address - Phone:410-546-5502
Mailing Address - Fax:410-546-5545
Practice Address - Street 1:1503 SANTA ROSA RD
Practice Address - Street 2:SUITE 106
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5105
Practice Address - Country:US
Practice Address - Phone:804-285-1204
Practice Address - Fax:410-546-5545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAK185OtherBLUE CROSS BLUE SHIELD
VA73140OtherAMERICHOICE PROVIDER