Provider Demographics
NPI:1457659625
Name:ORTHOCARE MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:ORTHOCARE MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/ PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KERRIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CATLAW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,ATC,CFO
Authorized Official - Phone:603-668-6688
Mailing Address - Street 1:700 LAKE AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-2734
Mailing Address - Country:US
Mailing Address - Phone:603-668-6688
Mailing Address - Fax:603-668-6689
Practice Address - Street 1:ONE MEDICAL CENTER DR
Practice Address - Street 2:SUITE 809
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-5702
Practice Address - Fax:603-650-5744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03241332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies