Provider Demographics
NPI:1902192859
Name:ORTHOHEAT
Entity Type:Organization
Organization Name:ORTHOHEAT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHRENDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-373-0586
Mailing Address - Street 1:311 W MAIN ST
Mailing Address - Street 2:D6
Mailing Address - City:HARBOR SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49740-1444
Mailing Address - Country:US
Mailing Address - Phone:231-373-0586
Mailing Address - Fax:
Practice Address - Street 1:8730 COMMERCE CT
Practice Address - Street 2:SUITE 2
Practice Address - City:HARBOR SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49740-9492
Practice Address - Country:US
Practice Address - Phone:231-373-0586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies