Provider Demographics
NPI:1962609081
Name:NEXSTEP INC.
Entity type:Organization
Organization Name:NEXSTEP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILEN
Authorized Official - Suffix:
Authorized Official - Credentials:CPO PTA
Authorized Official - Phone:610-678-1200
Mailing Address - Street 1:2211 QUARRY DR
Mailing Address - Street 2:SUITE E-63
Mailing Address - City:WEST LAWN
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1161
Mailing Address - Country:US
Mailing Address - Phone:610-678-1200
Mailing Address - Fax:
Practice Address - Street 1:2211 QUARRY DR
Practice Address - Street 2:SUITE E-63
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-1161
Practice Address - Country:US
Practice Address - Phone:610-678-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1640852OtherHIGHMARK
PA39HB05OtherCAPITAL BLUE CROSS
PA5054470001Medicare NSC