Provider Demographics
NPI:1477629111
Name:JF ROWLEY PROSTHETIC AND ORTHOTIC LABORATORIES INC
Entity Type:Organization
Organization Name:JF ROWLEY PROSTHETIC AND ORTHOTIC LABORATORIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF BIONIC, WHO OWNS JF ROWLEY
Authorized Official - Prefix:MR
Authorized Official - First Name:SUMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAXENA
Authorized Official - Suffix:JR
Authorized Official - Credentials:CP, BOCO
Authorized Official - Phone:219-791-9200
Mailing Address - Street 1:3803 E LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-5809
Mailing Address - Country:US
Mailing Address - Phone:219-791-9200
Mailing Address - Fax:513-861-3754
Practice Address - Street 1:2729 VINE STREET
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2036
Practice Address - Country:US
Practice Address - Phone:513-861-3705
Practice Address - Fax:513-861-3754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPO96335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH7559753Medicaid
KY7100172720Medicaid
OH7559753Medicaid