Charles Etuk in San Pedro - Durable Medical Equipment & Medical Supplies
Charles Etuk - NPI 1629183496
Charles Etuk is a Durable Medical Equipment & Medical Supplies in San Pedro, California. Charles Etuk practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Charles Etuk is 1629183496. The last update date is 2008-06-20.
Charles Etuk's current location address is 1011 S Gaffey St, San Pedro, California. You can contact this provider via phone number 3102410886 and fax number 3102410876. The mailing address for Charles Etuk is 1011 S Gaffey St, San Pedro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charles Etuk |
|---|---|
| Address | 1011 S Gaffey St, San Pedro, California |
| Phone Number | 3102410886 |
| Fax Number | 3102410876 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Etuk E Charles |
| Telephone Number | 3102410886 |
NPI Number Detail
| NPI Number | 1629183496 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | 1011 S Gaffey St |
|---|---|
| City | San Pedro |
| State | California (CA) |
| Post Code | 907314033 |
| Phone Number | 3102410886 |
| Fax Number | 3102410876 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 45847 |
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Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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What is the unique identifier code issued to Charles Etuk by the Centers for Medicare & Medicaid Services?
The Charles Etuk has been assigned the NPI (National Provider Identifier) 1629183496. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Charles Etuk is physically located?
The Charles Etuk is physically situated at the following address: 1011 S Gaffey St, San Pedro, CA, 907314033.
What is Charles Etuk's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles Etuk is Durable Medical Equipment & Medical Supplies, and the taxonomy code that classifies this field of practice is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629183496 to Charles Etuk?
The Centers for Medicare & Medicaid Services originally issued the 1629183496 to Charles Etuk on 2006-08-20.
As of what date was the information regarding Charles Etuk, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles Etuk, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-20.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY