Provider Demographics
NPI:1427490853
Name:ORTHOCARE CONCEPTS INC.
Entity type:Organization
Organization Name:ORTHOCARE CONCEPTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:HABEEB
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:570-586-2503
Mailing Address - Street 1:108 UPLAND TER
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-8982
Mailing Address - Country:US
Mailing Address - Phone:570-586-2503
Mailing Address - Fax:
Practice Address - Street 1:108 UPLAND TER
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-8982
Practice Address - Country:US
Practice Address - Phone:570-586-2503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier