Provider Demographics
NPI:1750705042
Name:HORIZON ORTHOTIC & PROSTHETIC EXPERIENCE INC
Entity type:Organization
Organization Name:HORIZON ORTHOTIC & PROSTHETIC EXPERIENCE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:816-268-4673
Mailing Address - Street 1:11775 W 112TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2747
Mailing Address - Country:US
Mailing Address - Phone:913-663-4673
Mailing Address - Fax:913-338-4002
Practice Address - Street 1:2700 CLAY EDWARDS DR
Practice Address - Street 2:SUITE 355
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3251
Practice Address - Country:US
Practice Address - Phone:816-268-4673
Practice Address - Fax:816-268-4674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-07
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier