Provider Demographics
NPI:1750550661
Name:ORTHOFIT CORPORATION
Entity type:Organization
Organization Name:ORTHOFIT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:PASCHKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-725-3658
Mailing Address - Street 1:6497 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:BOWMANSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14026-1043
Mailing Address - Country:US
Mailing Address - Phone:716-725-3658
Mailing Address - Fax:
Practice Address - Street 1:6497 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:BOWMANSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14026-1043
Practice Address - Country:US
Practice Address - Phone:716-725-3658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6060720001Medicare NSC