Richard Jesse Nicholson in Lake Luzerne - Durable Medical Equipment & Medical Supplies

Richard Jesse Nicholson - NPI 1578740247

Richard Jesse Nicholson is a Durable Medical Equipment & Medical Supplies in Lake Luzerne, New York. Richard Jesse Nicholson practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Richard Jesse Nicholson is 1578740247. The last update date is 2008-01-24.

Richard Jesse Nicholson's current location address is 1041 E River Dr, Lake Luzerne, New York. You can contact this provider via phone number 5189646773 and fax number 5189646735. The mailing address for Richard Jesse Nicholson is 1041 E River Dr, Lake Luzerne, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Jesse Nicholson
Address 1041 E River Dr, Lake Luzerne, New York
Phone Number 5189646773
Fax Number 5189646735
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1578740247
Provider Enumeration Date 2008-01-24
Last Updated Date 2008-01-24

Provider Mailing Address Detail

Address 1041 E River Dr
City Lake Luzerne
State New York (NY)
Post Code 128462305
Phone Number 5189646773
Fax Number 5189646735

Provider's Primary Taxonomy Detail

Speciality Durable Medical Equipment & Medical Supplies
Taxonomy 332B00000X
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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FAQs about Richard Jesse Nicholson

What is the unique 10-digit identification code assigned to Richard Jesse Nicholson by the Centers for Medicare & Medicaid Services?

The Richard Jesse Nicholson has been issued the NPI (National Provider Identifier) 1578740247, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Richard Jesse Nicholson is physically located?

The Richard Jesse Nicholson is physically situated at the following address: 1041 E River Dr, Lake Luzerne, NY, 128462305.

What is Richard Jesse Nicholson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Richard Jesse Nicholson is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy classification code for this specialized field is 332B00000X.

On what date did the Richard Jesse Nicholson receive the assignment of its 1578740247 from the Centers for Medicare & Medicaid Services?

The Richard Jesse Nicholson was issued its 1578740247 by the Centers for Medicare & Medicaid Services on 2008-01-24.

As of what date were the details related to Richard Jesse Nicholson most recently updated or revised?

The information pertaining to Richard Jesse Nicholson, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-24.

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