Provider Demographics
NPI:1588727127
Name:ORTHOCARERN OF MISSOURI, INC.
Entity type:Organization
Organization Name:ORTHOCARERN OF MISSOURI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP COO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:R
Authorized Official - Last Name:CROTSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-391-2772
Mailing Address - Street 1:2 CITYPLACE DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7096
Mailing Address - Country:US
Mailing Address - Phone:314-812-2550
Mailing Address - Fax:
Practice Address - Street 1:2 CITYPLACE DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-7096
Practice Address - Country:US
Practice Address - Phone:314-812-2550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health