Martha Dale Kristiansen in Mccomb - Oxygen Equipment & Supplies

Martha Dale Kristiansen - NPI 1629257084

Martha Dale Kristiansen is a Oxygen Equipment & Supplies in Mccomb, Mississippi. Martha Dale Kristiansen practices all healthcare services and medical treatments related to Oxygen Equipment & Supplies. The NPI Number for Martha Dale Kristiansen is 1629257084. The last update date is 2008-08-12.

Martha Dale Kristiansen's current location address is 1413 Aston Ave, Mccomb, Mississippi. You can contact this provider via phone number 6016845115 and fax number 6016845116. The mailing address for Martha Dale Kristiansen is 1413 Aston Ave, Mccomb, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Martha Dale Kristiansen
Address 1413 Aston Ave, Mccomb, Mississippi
Phone Number 6016845115
Fax Number 6016845116
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Kristiansen Dale Martha
Telephone Number 6016845115

NPI Number Detail

NPI Number 1629257084
Provider Enumeration Date 2007-11-01
Last Updated Date 2008-08-12

Provider Mailing Address Detail

Address 1413 Aston Ave
City Mccomb
State Mississippi (MS)
Post Code 396482827
Phone Number 6016845115
Fax Number 6016845116

Provider's Primary Taxonomy Detail

Speciality Oxygen Equipment & Supplies
Taxonomy 332Bx2000X
Licence No 57128480
Definition:
Respiratory durable medical equipment dispensing therapeutic oxygen and related supplies like regulators, tubing and cannulas.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9000 MS ABP
440487 MS --

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FAQs about Martha Dale Kristiansen

What is the unique 10-digit identification code issued to Martha Dale Kristiansen by the Centers for Medicare & Medicaid Services?

The Martha Dale Kristiansen has been assigned the NPI (National Provider Identifier) 1629257084 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Martha Dale Kristiansen located?

The Martha Dale Kristiansen is located at 1413 Aston Ave, Mccomb, MS 396482827.

What is Martha Dale Kristiansen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Martha Dale Kristiansen is Oxygen Equipment & Supplies, and the taxonomy code that classifies this field of practice is 332Bx2000X.

When did the Martha Dale Kristiansen receive its 1629257084?

The Martha Dale Kristiansen was issued its 1629257084 on 2007-11-01, which is the date when the organization was assigned this unique identifier.

When was the Martha Dale Kristiansen's information last updated?

The Martha Dale Kristiansen's information was last updated on 2008-08-12.

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