Provider Demographics
NPI:1336508431
Name:ULTRAFLEX SYSTEMS, INC.
Entity Type:Organization
Organization Name:ULTRAFLEX SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE CONTRACTING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:WULFERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-819-6017
Mailing Address - Street 1:237 SOUTH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-5984
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 W. MARTIN LUTHER KING BLVD.
Practice Address - Street 2:SUITE 1000
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402
Practice Address - Country:US
Practice Address - Phone:423-521-2171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ULTRAFLEX SYSTEMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000004052335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier