Provider Demographics
NPI:1124170865
Name:ROTHSCHILD'S ORTHOPEDIC APPLIANCES, INC
Entity type:Organization
Organization Name:ROTHSCHILD'S ORTHOPEDIC APPLIANCES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTHSCHILD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-546-5502
Mailing Address - Street 1:300 MILL ST
Mailing Address - Street 2:UNIT C
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-4242
Mailing Address - Country:US
Mailing Address - Phone:410-546-5502
Mailing Address - Fax:410-546-5545
Practice Address - Street 1:650 RITCHIE HWY
Practice Address - Street 2:SUITE 306
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-3916
Practice Address - Country:US
Practice Address - Phone:410-545-5502
Practice Address - Fax:410-546-5545
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROTHSCHILD'S ORTHOPEDIC APPLIANCES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-16
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0129300002Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER