Provider Demographics
NPI:1841409521
Name:BORT-SWISS ORTHOPEDIC SUPPLY
Entity Type:Organization
Organization Name:BORT-SWISS ORTHOPEDIC SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-242-6907
Mailing Address - Street 1:2221 APPLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-1579
Mailing Address - Country:US
Mailing Address - Phone:248-242-6907
Mailing Address - Fax:248-242-6908
Practice Address - Street 1:2221 APPLEBROOK DR
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48382-1579
Practice Address - Country:US
Practice Address - Phone:248-242-6907
Practice Address - Fax:248-242-6908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIB332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies