Dennis Wayne Dillard in Peoria - Orthotic Fitter
Dennis Wayne Dillard - NPI 1275667115
Dennis Wayne Dillard is a Orthotic Fitter in Peoria, Illinois. Dennis Wayne Dillard practices all healthcare services and medical treatments related to Orthotic Fitter. The NPI Number for Dennis Wayne Dillard is 1275667115. The last update date is 2012-11-09.
Dennis Wayne Dillard's current location address is 741 W Main St, Peoria, Illinois. You can contact this provider via phone number 3096762276. The mailing address for Dennis Wayne Dillard is 741 W Main St, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dennis Wayne Dillard |
|---|---|
| Address | 741 W Main St, Peoria, Illinois |
| Phone Number | 3096762276 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | C.PED., CT |
NPI Number Detail
| NPI Number | 1275667115 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2012-11-09 |
Provider Mailing Address Detail
| Address | 741 W Main St |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616062017 |
| Phone Number | 3096762276 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthotic Fitter |
|---|---|
| Taxonomy | 225000000X |
| Licence No | 212-000127 |
|
Definition: An individual trained in the management of fitting prefabricated orthoses. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CPED1563 | IL | AMERICAN BOARD FOR CERTIFICATI | |
| 212-000127 | IL | STATE LICENSED PEDORTHIST |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dennis Wayne Dillard?
The Dennis Wayne Dillard has been issued the NPI (National Provider Identifier) 1275667115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Dennis Wayne Dillard is geographically located?
The Dennis Wayne Dillard is physically situated at the following location: 741 W Main St, Peoria, IL, 616062017.
What is the area of specialization for Dennis Wayne Dillard, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dennis Wayne Dillard is Orthotic Fitter, and the corresponding taxonomy code that categorizes this area of expertise is 225000000X.
On what date was the 1275667115 assigned to Dennis Wayne Dillard?
The Dennis Wayne Dillard was issued its 1275667115 on 2007-03-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Dennis Wayne Dillard most recently updated or refreshed?
The details pertaining to the Dennis Wayne Dillard, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-11-09.