Mr. John Stanley Mishasek
Orthotic Fitter
2415 N Union Blvd
Colorado Springs
, Colorado 80909-1107
Mr. John Stanley Mishasek
Orthotic Fitter
2415 N Union Blvd
Colorado Springs
, Colorado 80909-1107
(719) 471-0760
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mr. John Stanley Mishasek
- 2415 N Union Blvd
- Colorado Springs, CO
- Zip : 80909-1107
- Fax : (719) 471-0760
- Phone : (719) 632-4275
Second Address
- Mr. John Stanley Mishasek
- 2415 N Union Blvd
- Colorado Springs, CO
- Zip : 80909-1107
- Fax : (719) 471-0760
- Phone : (719) 632-4275
Reviews
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Is Mr. John Stanley Mishasek a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter |
National Provider Identifier
| NPI | 1528136777 |
|---|---|
| Provider Name | Mr. John Stanley Mishasek |
| First Address | Colorado Springs, CO 80909-1107 |
| Second Address | Colorado Springs, CO 80909-1107 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/12/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 08002982 | (05) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.