Provider Demographics
NPI:1750473195
Name:ACE PROSTHETICS, INC.
Entity Type:Organization
Organization Name:ACE PROSTHETICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED PROSTHETIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:HAYS
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:614-291-8325
Mailing Address - Street 1:4971 ARLINGTON CENTRE BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2910
Mailing Address - Country:US
Mailing Address - Phone:614-291-8325
Mailing Address - Fax:614-291-8342
Practice Address - Street 1:4971 ARLINGTON CENTRE BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2910
Practice Address - Country:US
Practice Address - Phone:614-291-8325
Practice Address - Fax:614-291-8342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLP226335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2686231Medicaid
OH5758420001Medicare NSC