Provider Demographics
NPI:1245490762
Name:ACADIAN PROSTHETICS INC
Entity type:Organization
Organization Name:ACADIAN PROSTHETICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:P
Authorized Official - Last Name:VOISIN
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:985-879-1380
Mailing Address - Street 1:145 AGNES ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70363-6710
Mailing Address - Country:US
Mailing Address - Phone:985-879-1380
Mailing Address - Fax:985-879-1324
Practice Address - Street 1:145 AGNES ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70363-6710
Practice Address - Country:US
Practice Address - Phone:985-879-1380
Practice Address - Fax:985-879-1324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
0297390001Medicare NSC