Provider Demographics
NPI:1255520870
Name:PEEPLES ORTHOTICS & PROSTHETICS
Entity type:Organization
Organization Name:PEEPLES ORTHOTICS & PROSTHETICS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PEEPLES
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:316-618-8400
Mailing Address - Street 1:5400 E CENTRAL AVENUE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-4100
Mailing Address - Country:US
Mailing Address - Phone:316-618-8400
Mailing Address - Fax:316-618-8403
Practice Address - Street 1:5400 E CENTRAL AVENUE
Practice Address - Street 2:SUITE 120
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-4100
Practice Address - Country:US
Practice Address - Phone:316-618-8400
Practice Address - Fax:316-618-8403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS4473970002Medicare NSC