Provider Demographics
NPI:1710159553
Name:ALLENTOWN LIMB & BRACE, INC.
Entity Type:Organization
Organization Name:ALLENTOWN LIMB & BRACE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHONDORFER
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:610-437-2254
Mailing Address - Street 1:1808 W ALLEN STREET
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-5025
Mailing Address - Country:US
Mailing Address - Phone:610-437-2254
Mailing Address - Fax:610-437-4091
Practice Address - Street 1:1808 W ALLEN ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5025
Practice Address - Country:US
Practice Address - Phone:610-437-2254
Practice Address - Fax:610-437-4091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAQW13890332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0608930001Medicare NSC