Doug Taylor Prosthetics Inc
Organization Active NPI Prosthetic/Orthotic Supplier · Beech Grove, IN
NPI 1124119763 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124119763
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- License
- CP001415 (IN)
- Legal business name
- DOUG TAYLOR PROSTHETICS INC
- Practice address
- 207 Main Street
Beech Grove, IN 46107-1814 - Phone
- (317) 782-9310
- Fax
- (317) 782-9312
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Megan R Marschand
- Title
- Office Manager
- Phone
- (317) 782-9310
National Provider Directory
Locations
207 Main St
Beech Grove, IN 46107
Phone (317) 782-9310
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | CP001415 | IN | Yes |
Addresses
Primary practice location
207 Main Street
Beech Grove, IN 46107-1814
Mailing address
207 Main Street
Beech Grove, IN 46107-1814
Phone (317) 782-9310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000480186 | Other | IN | ANTHEM |
Other names
- O & P Composites
Other providers in Beech Grove, IN
- David J. Black, MD, LLC
- Chad Eric Deerberg
- Barbara Dempsey
- Jeri Dine
- Georgia K Dorulla
- Paul E Driscoll
- Kailyn Loren Duane
- James Dycus
- Abigail Nicole Emerick
- Patrick J Enright
All providers in Beech Grove, IN · Prosthetic/Orthotic Supplier in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.