Nilah Nicole Bonham Od Pc in Brazil - Durable Medical Equipment & Medical Supplies
Nilah Nicole Bonham Od Pc - NPI 1477728970
Nilah Nicole Bonham Od Pc is a Durable Medical Equipment & Medical Supplies in Brazil, Indiana. Nilah Nicole Bonham Od Pc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Nilah Nicole Bonham Od Pc is 1477728970. The last update date is 2008-04-25.
Nilah Nicole Bonham Od Pc's current location address is 325 W National Ave, Brazil, Indiana. You can contact this provider via phone number 8124430060. The mailing address for Nilah Nicole Bonham Od Pc is 325 W National Ave, Brazil, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nilah Nicole Bonham Od Pc |
|---|---|
| Address | 325 W National Ave, Brazil, Indiana |
| Phone Number | 8124430060 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bonham Nicole Nilah |
| Credentials | OD |
| Telephone Number | 8124430060 |
NPI Number Detail
| NPI Number | 1477728970 |
|---|---|
| Provider Enumeration Date | 2008-04-25 |
| Last Updated Date | 2008-04-25 |
Provider Mailing Address Detail
| Address | 325 W National Ave |
|---|---|
| City | Brazil |
| State | Indiana (IN) |
| Post Code | 478342542 |
| Phone Number | 8124430060 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 6024820001 |
|
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 |
|---|---|---|---|
| 6024820001 | IN | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Nilah Nicole Bonham Od Pc?
The Nilah Nicole Bonham Od Pc has been issued the NPI (National Provider Identifier) 1477728970 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Nilah Nicole Bonham Od Pc?
The Nilah Nicole Bonham Od Pc is physically situated at 325 W National Ave, in the city of Brazil, state of IN, with the postal code 478342542.
What is Nilah Nicole Bonham Od Pc's area of expertise and its corresponding taxonomy classification?
The Nilah Nicole Bonham Od Pc's field of specialization is Durable Medical Equipment & Medical Supplies, and it falls under the taxonomy code 332B00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1477728970 to Nilah Nicole Bonham Od Pc?
The Nilah Nicole Bonham Od Pc received its 1477728970 assignment from the Centers for Medicare & Medicaid Services on 2008-04-25.
When was the information regarding Nilah Nicole Bonham Od Pc most recently updated?
The details pertaining to the Nilah Nicole Bonham Od Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-04-25.
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