Provider Demographics
NPI:1316915929
Name:AMERICAN PROSTHETICS AND ORTHOTICS INC.
Entity type:Organization
Organization Name:AMERICAN PROSTHETICS AND ORTHOTICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED ORTHOTIST
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:MARVIN
Authorized Official - Last Name:HAM
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:319-337-4928
Mailing Address - Street 1:3219 HASTINGS AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-4022
Mailing Address - Country:US
Mailing Address - Phone:319-354-3387
Mailing Address - Fax:
Practice Address - Street 1:2203 MUSCATINE AVE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6632
Practice Address - Country:US
Practice Address - Phone:319-337-4928
Practice Address - Fax:319-337-2897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies