1720080005 CANTON ORTHOTIC LABORATORY INC
Prosthetic/Orthotic Supplier
Active
Basic Information
- Organization Name
- CANTON ORTHOTIC LABORATORY INC
- Enumeration Date
- June 1, 2005
- Last Update
- August 22, 2020
- Authorized Official
- MR. STEPHEN THOMAS SIMKO LO
PRESIDENT/LICENSED ORTHOTIST
Phone: (330) 454-2081
Practice Location
- Address
- 811 12TH ST NW
CANTON, OH 447031927 - Phone
- (330) 454-2081
- Fax
- (330) 454-9568
Mailing Address
- Address
- 811 12TH ST NW
CANTON, OH 447031927 - Phone
- (330) 454-2081
- Fax
- (330) 454-9568
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Prosthetic/Orthotic Supplier | N/A | N/A | No |
| Prosthetic/Orthotic Supplier | 335E00000X | Prosthetic/Orthotic Supplier | N/A | OH | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000155415 | 01 | OH | ANTHEM PROVIDER NUMBER |
| 0291143 | 05 | OH | N/A |
Frequently Asked Questions
What is CANTON ORTHOTIC LABORATORY INC's NPI number?
CANTON ORTHOTIC LABORATORY INC's NPI number is 1720080005.
Which doctor has NPI number 1720080005?
The doctor with NPI number 1720080005 is CANTON ORTHOTIC LABORATORY INC.
What is CANTON ORTHOTIC LABORATORY INC's practice address?
CANTON ORTHOTIC LABORATORY INC's practice address is 811 12TH ST NW, CANTON, OH, 447031927.
Which doctor practices at 811 12TH ST NW, CANTON, OH, 447031927?
CANTON ORTHOTIC LABORATORY INC practices at 811 12TH ST NW, CANTON, OH, 447031927.
What is CANTON ORTHOTIC LABORATORY INC's phone number?
CANTON ORTHOTIC LABORATORY INC's phone number is (330) 454-2081.
Who is (330) 454-2081?
(330) 454-2081 is the phone number for CANTON ORTHOTIC LABORATORY INC.
What is CANTON ORTHOTIC LABORATORY INC's specialty?
CANTON ORTHOTIC LABORATORY INC's specialty is Prosthetic/Orthotic Supplier.
What type of doctor is CANTON ORTHOTIC LABORATORY INC?
CANTON ORTHOTIC LABORATORY INC is a Prosthetic/Orthotic Supplier.
Is CANTON ORTHOTIC LABORATORY INC a Prosthetic/Orthotic Supplier?
Yes, CANTON ORTHOTIC LABORATORY INC is a Prosthetic/Orthotic Supplier.
Is CANTON ORTHOTIC LABORATORY INC still practicing?
Yes, CANTON ORTHOTIC LABORATORY INC is currently practicing.
Is CANTON ORTHOTIC LABORATORY INC accepting new patients?
CANTON ORTHOTIC LABORATORY INC may be accepting new patients. Please call their office at (330) 454-2081 to inquire about availability.
Is NPI 1720080005 still active?
Yes, NPI 1720080005 is currently active.
Where does CANTON ORTHOTIC LABORATORY INC practice?
CANTON ORTHOTIC LABORATORY INC practices in CANTON, OH.