Kevin C Dodson in East Moline - Durable Medical Equipment & Medical Supplies

Kevin C Dodson - NPI 1659555464

Kevin C Dodson is a Durable Medical Equipment & Medical Supplies in East Moline, Illinois. Kevin C Dodson practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Kevin C Dodson is 1659555464. The last update date is 2011-09-16.

Kevin C Dodson's current location address is 1620 9th St, East Moline, Illinois. You can contact this provider via phone number 3097553809 and fax number 3087553860. The mailing address for Kevin C Dodson is 1620 9th St, East Moline, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kevin C Dodson
Address 1620 9th St, East Moline, Illinois
Phone Number 3097553809
Fax Number 3087553860
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Dodson C Kevin
Credentials DPM
Telephone Number 3097553809

NPI Number Detail

NPI Number 1659555464
Provider Enumeration Date 2007-12-28
Last Updated Date 2011-09-16

Provider Mailing Address Detail

Address 1620 9th St
City East Moline
State Illinois (IL)
Post Code 612442120
Phone Number 3097553809
Fax Number 3087553860

Provider's Primary Taxonomy Detail

Speciality Durable Medical Equipment & Medical Supplies
Taxonomy 332B00000X
Licence No 16004304
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60201286 IL BLUE CROSS BLUE SHIELD
IL0101 IL UNITED HEALTHCARE
436154 IA IME
P00204462 IA MEDICARE RAILROAD
480007485 IL MEDICARE RAILROAD
IA0102 IA UNITED HEALTH CARE
20110 IL HEALTH ALLIANCE
326507258 IL TRICARE
36473 IA WELLMARK BLUE CROSS/BLUE SHIEL
I12453 IA MEDICARE

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FAQs about Kevin C Dodson

What is the unique identification code assigned to Kevin C Dodson by the Centers for Medicare & Medicaid Services?

The Kevin C Dodson has been issued the NPI (National Provider Identifier) 1659555464. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Kevin C Dodson's physical address?

The Kevin C Dodson is physically located at 1620 9Th St, in the city of East Moline, IL, with the postal code 612442120.

What is Kevin C Dodson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kevin C Dodson is Durable Medical Equipment & Medical Supplies, and the taxonomy code that categorizes this field of expertise is 332B00000X.

When did the Kevin C Dodson receive its 1659555464?

The Kevin C Dodson was issued its 1659555464 on 2007-12-28, which is the date when the organization was assigned this unique identifier.

When was the information regarding Kevin C Dodson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kevin C Dodson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-09-16.

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