Provider Demographics
NPI:1831369404
Name:ORTHOPRO, INC
Entity type:Organization
Organization Name:ORTHOPRO, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SPENCER
Authorized Official - Last Name:SAPPINGTON
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:205-965-5490
Mailing Address - Street 1:1812 28TH AVE S
Mailing Address - Street 2:SUITE B
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-2602
Mailing Address - Country:US
Mailing Address - Phone:205-879-8861
Mailing Address - Fax:205-879-8227
Practice Address - Street 1:1812 28TH AVE S
Practice Address - Street 2:SUITE B
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-2602
Practice Address - Country:US
Practice Address - Phone:205-879-8861
Practice Address - Fax:205-879-8227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL157335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier