Smart Form Inc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Pittsburgh, Pennsylvania. It is situated at 100 5th Ave, Suite 804, Pittsburgh and its contact number is 412-281-9913. The authorized person of Smart Form Inc is Mrs. Laurie J Churma
who is General Manager of the store and his/her contact number is 412-281-9913. Smart Form Inc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
Smart Form Inc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
100 5th Ave, Suite 804, Pittsburgh, Pennsylvania, 15222-1821
Phone:
412-281-9913
Fax:
412-281-8074
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Laurie J Churma
Position:
General Manager
Contact Number:
412-281-9913
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Smart Form Inc center are as mentioned below.
NPI Number:
1033102330
NPI Enumeration Date:
23 Aug, 2005
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Smart Form Inc are as mentioned below.
Specialization
License Number
State
Status
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0016096020001
Medicaid
Pennsylvania
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Smart Form Inc 100 5th Ave, Suite 804 Pittsburgh, Pennsylvania
Zip:
15222-1821
Phone Number:
412-281-9913
Fax Number:
412-281-8074
Patients can reach Smart Form Inc at 100 5th Ave, Suite 804, Pittsburgh, Pennsylvania or can call to book an appointment on 412-281-9913. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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