Ada Artificial Limb & Brace Inc.

Organization Active NPI Prosthetic/Orthotic Supplier · Ada, OK

NPI 1235311697 · NPPES record last updated Nov 29, 2007

Key facts

NPI
1235311697
Entity type
Organization (NPI type 2)
Primary specialty
Prosthetic/Orthotic Supplier 335E00000X
License
25 (OK)
Legal business name
ADA ARTIFICIAL LIMB & BRACE INC.
Practice address
2727 Arlington St
Ada, OK 74820-2908
Phone
(580) 332-7275
Fax
(580) 332-4838
NPI assigned
Nov 28, 2007
Organization subpart
No

Authorized official

Name
Gerald Faulkner
Title
Owner/Lpo
Phone
(580) 332-7275

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 25 OK Yes

Addresses

Primary practice location

2727 Arlington St
Ada, OK 74820-2908

Mailing address

2727 Arlington St
Ada, OK 74820-2908
Phone (580) 332-7275

Other identifiers

IdentifierTypeStateIssuer
731432989-001OtherOKBLUE CROSS BLUE SHIELD

Other providers in Ada, OK

All providers in Ada, OK · Prosthetic/Orthotic Supplier in Oklahoma

Sources for this page

Verify at the official NPI Registry.