Stephen D Raines in Union City - Durable Medical Equipment & Medical Supplies

Stephen D Raines - NPI 1790999456

Stephen D Raines is a Durable Medical Equipment & Medical Supplies in Union City, Tennessee. Stephen D Raines practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Stephen D Raines is 1790999456. The last update date is 2009-06-22.

Stephen D Raines's current location address is 1415 E Reelfoot Ave, Union City, Tennessee. You can contact this provider via phone number 7318850220 and fax number 7318850216. The mailing address for Stephen D Raines is 1415 E Reelfoot Ave, Union City, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Stephen D Raines
Address 1415 E Reelfoot Ave, Union City, Tennessee
Phone Number 7318850220
Fax Number 7318850216
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Raines D Stephen
Credentials DPM
Telephone Number 7318850220

NPI Number Detail

NPI Number 1790999456
Provider Enumeration Date 2007-05-10
Last Updated Date 2009-06-22

Provider Mailing Address Detail

Address 1415 E Reelfoot Ave
City Union City
State Tennessee (TN)
Post Code 382615812
Phone Number 7318850220
Fax Number 7318850216

Provider's Primary Taxonomy Detail

Speciality Durable Medical Equipment & Medical Supplies
Taxonomy 332B00000X
Licence No DPM217
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
11030190002 TN DME SUPPLIER

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FAQs about Stephen D Raines

What is the unique 10-digit identifier code assigned to Stephen D Raines by the Centers for Medicare & Medicaid Services?

The Stephen D Raines has been issued the NPI (National Provider Identifier) 1790999456 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Stephen D Raines is located?

The Stephen D Raines is situated at the following address: 1415 E Reelfoot Ave, Union City, TN, 382615812.

What is Stephen D Raines's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

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

On what date did the Stephen D Raines receive the assignment of its 1790999456 from the Centers for Medicare & Medicaid Services?

The Stephen D Raines was issued its 1790999456 by the Centers for Medicare & Medicaid Services on 2007-05-10.

When was the Stephen D Raines's information last updated?

The Stephen D Raines's information was last updated on 2009-06-22.

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