Manuel Bouffard in Long Beach - Orthotic Fitter
Manuel Bouffard - NPI 1316925282
Manuel Bouffard is a Orthotic Fitter in Long Beach, California. Manuel Bouffard practices all healthcare services and medical treatments related to Orthotic Fitter. The NPI Number for Manuel Bouffard is 1316925282. The last update date is 2010-11-16.
Manuel Bouffard's current location address is 4010 Orange Ave, Long Beach, California. You can contact this provider via phone number 5624283556 and fax number 5624283621. The mailing address for Manuel Bouffard is 4010 Orange Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Manuel Bouffard |
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Address | 4010 Orange Ave, Long Beach, California |
Phone Number | 5624283556 |
Fax Number | 5624283621 |
Sole Proprietor | N |
Credentials | OTR CHT |
NPI Number Detail
NPI Number | 1316925282 |
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Provider Enumeration Date | 2006-01-02 |
Last Updated Date | 2010-11-16 |
Provider Mailing Address Detail
Address | 4010 Orange Ave |
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City | Long Beach |
State | California (CA) |
Post Code | 908073717 |
Phone Number | 5624283556 |
Fax Number | 5624283621 |
Provider's Primary Taxonomy Detail
Speciality | Orthotic Fitter |
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Taxonomy | 225000000X |
Licence No | 978 |
Definition: An individual trained in the management of fitting prefabricated orthoses. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
5208580001 | CA | DMERC | |
ZZZ08589Z | CA | BLUE SHIELD OF CALIFORNIA |
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What is the unique 10-digit identifier code issued to Manuel Bouffard by the Centers for Medicare & Medicaid Services?
The Manuel Bouffard has been assigned the NPI (National Provider Identifier) 1316925282 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Manuel Bouffard is geographically located?
The Manuel Bouffard is physically situated at the following location: 4010 Orange Ave, Long Beach, CA, 908073717.
What is Manuel Bouffard's area of expertise and its corresponding taxonomy classification?
The Manuel Bouffard's field of specialization is Orthotic Fitter, and it falls under the taxonomy code 225000000X, which categorizes healthcare providers based on their areas of practice.
When was the Manuel Bouffard's 1316925282 issued?
The Manuel Bouffard's 1316925282 was issued on 2006-01-02.
As of what date were the Manuel Bouffard's details last updated?
The information pertaining to the Manuel Bouffard, including its address, specialty, and other details, was most recently updated on 2010-11-16.