Provider Demographics
NPI:1851396923
Name:NEXT STEP ORTHOTICS AND PROSTHETICS, INC.
Entity Type:Organization
Organization Name:NEXT STEP ORTHOTICS AND PROSTHETICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:GAYLE
Authorized Official - Last Name:PERSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-668-3831
Mailing Address - Street 1:155 DOW ST
Mailing Address - Street 2:STE 200
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1299
Mailing Address - Country:US
Mailing Address - Phone:603-668-3831
Mailing Address - Fax:603-668-4032
Practice Address - Street 1:27 CHARLES ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-1664
Practice Address - Country:US
Practice Address - Phone:978-557-7837
Practice Address - Fax:978-975-1606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1541277Medicaid
MA392854OtherBCBS
MA392854OtherBCBS