Provider Demographics
NPI:1669814836
Name:QUALITY PROSTHETIC CARE
Entity Type:Organization
Organization Name:QUALITY PROSTHETIC CARE
Other - Org Name:QUALITY PROSTHETIC AND ORTHOTIC CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:269-963-9696
Mailing Address - Street 1:424 RIVERSIDE DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-3440
Mailing Address - Country:US
Mailing Address - Phone:269-963-9696
Mailing Address - Fax:269-963-7099
Practice Address - Street 1:5228 LOVERS LN
Practice Address - Street 2:SUITE 102
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49002-1521
Practice Address - Country:US
Practice Address - Phone:269-373-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUALITY PROSTHETIC CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier