Provider Demographics
NPI:1972957785
Name:ASCENT ORTHOTICS & PROSTHETICS, INC.
Entity Type:Organization
Organization Name:ASCENT ORTHOTICS & PROSTHETICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDRICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-770-0100
Mailing Address - Street 1:7336 S YOSEMITE ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2337
Mailing Address - Country:US
Mailing Address - Phone:303-770-0100
Mailing Address - Fax:303-770-1178
Practice Address - Street 1:7336 S YOSEMITE ST
Practice Address - Street 2:SUITE 210
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2337
Practice Address - Country:US
Practice Address - Phone:303-770-0100
Practice Address - Fax:303-770-1178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-18
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier