Theodore M Wandzilak Md in Louisville - Durable Medical Equipment & Medical Supplies
Theodore M Wandzilak Md - NPI 1033396171
Theodore M Wandzilak Md is a Durable Medical Equipment & Medical Supplies in Louisville, Kentucky. Theodore M Wandzilak Md practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Theodore M Wandzilak Md is 1033396171. The last update date is 2017-06-08.
Theodore M Wandzilak Md's current location address is 1348 Poplar Level Rd, Louisville, Kentucky. You can contact this provider via phone number 5026341721 and fax number 5026376396. The mailing address for Theodore M Wandzilak Md is 1348 Poplar Level Rd, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Theodore M Wandzilak Md |
|---|---|
| Address | 1348 Poplar Level Rd, Louisville, Kentucky |
| Phone Number | 5026341721 |
| Fax Number | 5026376396 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Smith Pam |
| Telephone Number | 5026341721 |
NPI Number Detail
| NPI Number | 1033396171 |
|---|---|
| Provider Enumeration Date | 2008-01-30 |
| Last Updated Date | 2017-06-08 |
Provider Mailing Address Detail
| Address | 1348 Poplar Level Rd |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402171307 |
| Phone Number | 5026341721 |
| Fax Number | 5026376396 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 22152 |
|
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 Theodore M Wandzilak Md's 1033396171?
The Theodore M Wandzilak Md's NPI (National Provider Identifier) Number is 1033396171. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Theodore M Wandzilak Md located?
The Theodore M Wandzilak Md is located at 1348 Poplar Level Rd, Louisville, KY 402171307.
What is the Theodore M Wandzilak Md's area of specialization and corresponding taxonomy classification?
The Theodore M Wandzilak Md's specialty field is Durable Medical Equipment & Medical Supplies, and it falls under the taxonomy code 332B00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1033396171 to Theodore M Wandzilak Md?
The Theodore M Wandzilak Md received its 1033396171 assignment from the Centers for Medicare & Medicaid Services on 2008-01-30.
As of what date were the details pertaining to Theodore M Wandzilak Md last refreshed?
The information related to the Theodore M Wandzilak Md, including its address, specialty, and other relevant details, was last updated on 2017-06-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY