Provider Demographics
NPI:1831348465
Name:ANCHOR ORTHOTICS & PROSTHETICS, INC.
Entity type:Organization
Organization Name:ANCHOR ORTHOTICS & PROSTHETICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:530-887-1734
Mailing Address - Street 1:PO BOX 300
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95604-0300
Mailing Address - Country:US
Mailing Address - Phone:530-887-1734
Mailing Address - Fax:530-887-8491
Practice Address - Street 1:11990 HERITAGE OAK PL STE 12
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-2405
Practice Address - Country:US
Practice Address - Phone:530-887-1734
Practice Address - Fax:530-887-8491
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANCHOR ORTHOTICS & PROSTHETICS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier