Provider Demographics
NPI:1629289293
Name:ROTHSCHILD'S ORTHOPEDIC APPLIANCES, INC.
Entity Type:Organization
Organization Name:ROTHSCHILD'S ORTHOPEDIC APPLIANCES, INC.
Other - Org Name:ROTHSCHILD'S ORTHOPEDIC APPLIANCES, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OPERATING OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:FRANCES
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:21801-4202
Mailing Address - Country:US
Mailing Address - Phone:410-546-5502
Mailing Address - Fax:410-546-5547
Practice Address - Street 1:1101 SAINT PAUL ST
Practice Address - Street 2:UNIT 311
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2619
Practice Address - Country:US
Practice Address - Phone:410-546-5502
Practice Address - Fax:410-546-5547
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROTHSCHILD'S ORTHOPEDIC APPLIANCES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-25
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD453808100Medicaid
MD453808100Medicaid