Benta Jean Fries Benta Lingerie in Fresno - Customized Equipment

Benta Jean Fries Benta Lingerie - NPI 1912054156

Benta Jean Fries Benta Lingerie is a Customized Equipment in Fresno, California. Benta Jean Fries Benta Lingerie practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Benta Jean Fries Benta Lingerie is 1912054156. The last update date is 2008-06-17.

Benta Jean Fries Benta Lingerie's current location address is 5610 N Palm Ave, Fresno, California. You can contact this provider via phone number 5594327199 and fax number 5594320799. The mailing address for Benta Jean Fries Benta Lingerie is 5610 N Palm Ave, Fresno, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Benta Jean Fries Benta Lingerie
Address 5610 N Palm Ave, Fresno, California
Phone Number 5594327199
Fax Number 5594320799
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Fries Jean Benta
Credentials ABOP
Telephone Number 5594327199

NPI Number Detail

NPI Number 1912054156
Provider Enumeration Date 2007-01-03
Last Updated Date 2008-06-17

Provider Mailing Address Detail

Address 5610 N Palm Ave
City Fresno
State California (CA)
Post Code 937041825
Phone Number 5594327199
Fax Number 5594320799

Provider's Primary Taxonomy Detail

Speciality Customized Equipment
Taxonomy 332Bc3200X
Definition:
Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs.

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FAQs about Benta Jean Fries Benta Lingerie

What is the unique 10-digit identification code assigned to Benta Jean Fries Benta Lingerie by the Centers for Medicare & Medicaid Services?

The Benta Jean Fries Benta Lingerie has been issued the NPI (National Provider Identifier) 1912054156, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Benta Jean Fries Benta Lingerie?

The Benta Jean Fries Benta Lingerie is situated at 5610 N Palm Ave, in the city of Fresno, state of CA, with the zip code 937041825.

What is Benta Jean Fries Benta Lingerie's specialized field of practice, and what is the corresponding taxonomy classification code?

The Benta Jean Fries Benta Lingerie's area of specialization is Customized Equipment, and the corresponding taxonomy code that categorizes this field of practice is 332Bc3200X.

On what date did the Benta Jean Fries Benta Lingerie receive its 1912054156 assignment from the Centers for Medicare & Medicaid Services?

The Benta Jean Fries Benta Lingerie was assigned its 1912054156 by the Centers for Medicare & Medicaid Services on 2007-01-03.

As of what date was the information pertaining to Benta Jean Fries Benta Lingerie, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Benta Jean Fries Benta Lingerie, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-17.

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