Provider Demographics
NPI:1982866059
Name:STEPHEN SVETZ
Entity Type:Organization
Organization Name:STEPHEN SVETZ
Other - Org Name:ORTHOLOGIC TECHNOLOGIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SVETZ
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:814-866-2925
Mailing Address - Street 1:3309 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-2558
Mailing Address - Country:US
Mailing Address - Phone:814-866-2925
Mailing Address - Fax:814-866-2926
Practice Address - Street 1:3309 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-2558
Practice Address - Country:US
Practice Address - Phone:814-866-2925
Practice Address - Fax:814-866-2926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000007213332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies