Provider Demographics
NPI:1306900949
Name:GLOBAL PROSTHETICS INC
Entity type:Organization
Organization Name:GLOBAL PROSTHETICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DORI
Authorized Official - Middle Name:K
Authorized Official - Last Name:HOSEK
Authorized Official - Suffix:
Authorized Official - Credentials:BCO
Authorized Official - Phone:608-661-9030
Mailing Address - Street 1:2725 MARSHALL CT
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705
Mailing Address - Country:US
Mailing Address - Phone:608-661-9030
Mailing Address - Fax:608-231-2949
Practice Address - Street 1:2725 MARSHALL CT
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705
Practice Address - Country:US
Practice Address - Phone:608-661-9030
Practice Address - Fax:608-231-2949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL21623061OtherBCBS
WI41744100Medicaid
0829340001Medicare ID - Type UnspecifiedREGION B