Chalena R Hetznecker in Deland - Mastectomy Fitter
Chalena R Hetznecker - NPI 1104008895
Chalena R Hetznecker is a Mastectomy Fitter in Deland, Florida. Chalena R Hetznecker practices all healthcare services and medical treatments related to Mastectomy Fitter. The NPI Number for Chalena R Hetznecker is 1104008895. The last update date is 2023-06-15.
Chalena R Hetznecker's current location address is 929 N Spring Garden Ave Ste 120, Deland, Florida. You can contact this provider via phone number 8773377465 and fax number 8777934945. The mailing address for Chalena R Hetznecker is 929 N Spring Garden Ave Ste 120, Deland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chalena R Hetznecker |
|---|---|
| Address | 929 N Spring Garden Ave Ste 120, Deland, Florida |
| Phone Number | 8773377465 |
| Fax Number | 8777934945 |
| Sole Proprietor | Y |
| Credentials | C.M.F. |
NPI Number Detail
| NPI Number | 1104008895 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2023-06-15 |
Provider Mailing Address Detail
| Address | 929 N Spring Garden Ave Ste 120 |
|---|---|
| City | Deland |
| State | Florida (FL) |
| Post Code | 327200900 |
| Phone Number | 8773377465 |
| Fax Number | 8777934945 |
Provider's Primary Taxonomy Detail
| Speciality | Mastectomy Fitter |
|---|---|
| Taxonomy | 224900000X |
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Definition: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000836756O | FL | AMERICAN BOARD FOR CERTIFICATI |
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What is the unique 10-digit identification code issued to Chalena R Hetznecker by the Centers for Medicare & Medicaid Services?
The Chalena R Hetznecker has been assigned the NPI (National Provider Identifier) 1104008895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Chalena R Hetznecker?
The Chalena R Hetznecker is physically situated at 929 N Spring Garden Ave Ste 120, in the city of Deland, state of FL, with the postal code 327200900.
What is Chalena R Hetznecker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Chalena R Hetznecker is Mastectomy Fitter, and the taxonomy classification code that categorizes this area of expertise is 224900000X.
On what date did the Chalena R Hetznecker receive its 1104008895 assignment from the Centers for Medicare & Medicaid Services?
The Chalena R Hetznecker was assigned its 1104008895 by the Centers for Medicare & Medicaid Services on 2007-12-04.
When was the Chalena R Hetznecker's information last updated?
The Chalena R Hetznecker's information was last updated on 2023-06-15.
NPI Number: 1972506228
Address: 2102 Treasure Hills Blvd Ste 3.14406, Harlingen, TX