Basic Information
Provider Information
NPI: 1508501792
EntityType: 2
ReplacementNPI:  
OrganizationName: ORTHOSOLUTIONS LLC
LastName:  
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Mailing Information
Address1: 1095 PROFILE RD
Address2:  
City: FRANCONIA
State: NH
PostalCode: 035804938
CountryCode: US
TelephoneNumber: 6038238600
FaxNumber:  
Practice Location
Address1: 2936 WHITE MOUNTAIN HWY UNIT 1
Address2:  
City: NORTH CONWAY
State: NH
PostalCode: 038605121
CountryCode: US
TelephoneNumber: 6038238600
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/02/2022
LastUpdateDate: 05/12/2022
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: JACKSON
AuthorizedOfficialFirstName: KEN
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AuthorizedOfficialTitleorPosition: MANAGER
AuthorizedOfficialTelephone: 2129671967
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 05/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
332B00000X  Y SuppliersDurable Medical Equipment & Medical Supplies 

No ID Information.


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