Provider Demographics
NPI:1952541880
Name:ORTHOCARE SOLUTIONS INC
Entity Type:Organization
Organization Name:ORTHOCARE SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-990-1640
Mailing Address - Street 1:PO BOX 84090
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20883-8090
Mailing Address - Country:US
Mailing Address - Phone:301-990-1640
Mailing Address - Fax:301-990-1882
Practice Address - Street 1:21785 FILIGREE CT
Practice Address - Street 2:SUITE 103
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-6213
Practice Address - Country:US
Practice Address - Phone:301-990-1640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2025332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009109587Medicaid