NPI 1043866106

Summit City Prosthetics & Orthotics INC

Organisation Prosthetic/Orthotic Supplier Fort Wayne, IN

Practice location

Address: 2410 N Glendale Dr STE C, Fort Wayne, IN 46804-8909
Phone: (260) 312-1746

Authorised official

Name: Shawn Dee Brown
Title: President
Phone: (260) 312-1746

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1043866106
Entity type: Organization
NPI issued: 14 Aug 2019
Record last updated: 29 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.