NPI 1184205379

Summit City Prosthetics & Orthotics INC

Organisation Prosthetic/Orthotic Supplier South Bend, IN

Practice location

Address: 16597 State Road 23 STE 2, South Bend, IN 46635-1461
Phone: (574) 855-1488
Fax: (574) 387-5583

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: 1184205379
Entity type: Organization
NPI issued: 19 Apr 2021
Record last updated: 19 Apr 2021

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.