Provider Demographics
NPI:1215089958
Name:ROTHSCHILD'S ORTHOPEDIC APPLIANCES, INC.
Entity type:Organization
Organization Name:ROTHSCHILD'S ORTHOPEDIC APPLIANCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTHSCHILD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-546-5502
Mailing Address - Street 1:300 MILL ST
Mailing Address - Street 2:UNIT C
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-4202
Mailing Address - Country:US
Mailing Address - Phone:410-546-5502
Mailing Address - Fax:410-546-5547
Practice Address - Street 1:6630 BALTIMORE NATIONAL PIKE
Practice Address - Street 2:SUITE 204, BUILDING A
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-3920
Practice Address - Country:US
Practice Address - Phone:410-546-5502
Practice Address - Fax:410-546-5547
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROTHSCHILD'S ORTHOPEDIC APPLIANCES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-16
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0129300003Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER