Provider Demographics
NPI:1265428346
Name:AMERICAN PROSTHETIC INSTITUTE
Entity type:Organization
Organization Name:AMERICAN PROSTHETIC INSTITUTE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:STOKOSA
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:517-349-3130
Mailing Address - Street 1:2145 UNIVERSITY PARK DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-3982
Mailing Address - Country:US
Mailing Address - Phone:517-349-3130
Mailing Address - Fax:517-349-8887
Practice Address - Street 1:2145 UNIVERSITY PARK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-3982
Practice Address - Country:US
Practice Address - Phone:517-349-3130
Practice Address - Fax:517-349-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIP1109335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0C30389OtherBCBS MI ID
MI0C30389OtherBCBS MI ID