Larry J Assalita in State College - Customized Equipment
Larry J Assalita - NPI 1669656419
Larry J Assalita is a Customized Equipment in State College, Pennsylvania. Larry J Assalita practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Larry J Assalita is 1669656419. The last update date is 2012-10-25.
Larry J Assalita's current location address is 110 Regent Ct, State College, Pennsylvania. You can contact this provider via phone number 8142380675 and fax number 8142388455. The mailing address for Larry J Assalita is 110 Regent Ct, State College, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Larry J Assalita |
|---|---|
| Address | 110 Regent Ct, State College, Pennsylvania |
| Phone Number | 8142380675 |
| Fax Number | 8142388455 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROPRIETOR |
|---|---|
| Authorized Official Name | Assalita J Larry |
| Credentials | DPM |
| Telephone Number | 8142380675 |
NPI Number Detail
| NPI Number | 1669656419 |
|---|---|
| Provider Enumeration Date | 2007-12-27 |
| Last Updated Date | 2012-10-25 |
Provider Mailing Address Detail
| Address | 110 Regent Ct |
|---|---|
| City | State College |
| State | Pennsylvania (PA) |
| Post Code | 168017966 |
| Phone Number | 8142380675 |
| Fax Number | 8142388455 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
| Licence No | SC002410-L |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 867765 | PA | -- | |
| 862816801 | TRICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Larry J Assalita by the Centers for Medicare & Medicaid Services?
The Larry J Assalita has been issued the NPI (National Provider Identifier) 1669656419 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Larry J Assalita's facilities are geographically located?
The facilities of Larry J Assalita are physically situated at the following location: 110 Regent Ct, State College, PA, 168017966.
What is the Larry J Assalita's specialty and taxonomy code?
The Larry J Assalita's specialty is Customized Equipment, and the corresponding taxonomy code is 332Bc3200X.
On what date did the Larry J Assalita receive its 1669656419 assignment from the Centers for Medicare & Medicaid Services?
The Larry J Assalita was assigned its 1669656419 by the Centers for Medicare & Medicaid Services on 2007-12-27.
As of what date was the information regarding Larry J Assalita, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Larry J Assalita, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-25.