Pine River Inc. is a Audiologist in Fairfield, California. Pine River Inc. practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Pine River Inc. is 1639394117. The last update date is 2023-02-02.
Pine River Inc.'s current location address is 1700 Pennsylvania Ave Ste B, Fairfield, California. You can contact this provider via phone number 7074264327 and fax number 7074265190. The mailing address for Pine River Inc. is 1700 Pennsylvania Ave Ste B, Fairfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine River Inc. |
|---|---|
| Address | 1700 Pennsylvania Ave Ste B, Fairfield, California |
| Phone Number | 7074264327 |
| Fax Number | 7074265190 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Martin-Sahim Denise |
| Credentials | AUD |
| Telephone Number | 7074264327 |
NPI Number Detail
| NPI Number | 1639394117 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2023-02-02 |
Provider Mailing Address Detail
| Address | 1700 Pennsylvania Ave Ste B |
|---|---|
| City | Fairfield |
| State | California (CA) |
| Post Code | 945333510 |
| Phone Number | 7074264327 |
| Fax Number | 7074265190 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
|
Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AU0004410 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Pine River Inc. by the Centers for Medicare & Medicaid Services?
The Pine River Inc. has been issued the NPI (National Provider Identifier) 1639394117. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Pine River Inc.'s facilities are situated?
The facilities of Pine River Inc. are physically located at the following address: 1700 Pennsylvania Ave Ste B, Fairfield, CA, 945333510.
What is Pine River Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pine River Inc. is Audiologist, and the corresponding taxonomy classification code for this specialized field is 231H00000X.
When did the Pine River Inc. receive its 1639394117?
The Pine River Inc. was issued its 1639394117 on 2007-04-17, which is the date when the organization was assigned this unique identifier.
As of what date were the Pine River Inc.'s details last updated?
The information pertaining to the Pine River Inc., including its address, specialty, and other details, was most recently updated on 2023-02-02.
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