Provider Demographics
NPI:1780003202
Name:TRILOGY ORTHOPEDIC SUPPLY, INC.
Entity Type:Organization
Organization Name:TRILOGY ORTHOPEDIC SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:OSTROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:269-629-4853
Mailing Address - Street 1:9363 E D AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RICHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49083-9497
Mailing Address - Country:US
Mailing Address - Phone:269-629-4853
Mailing Address - Fax:
Practice Address - Street 1:9363 E D AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:RICHLAND
Practice Address - State:MI
Practice Address - Zip Code:49083-9497
Practice Address - Country:US
Practice Address - Phone:269-364-1076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-11
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies