Sandra L Vitale in Modesto - Prosthetic/orthotic Supplier
Sandra L Vitale - NPI 1053414052
Sandra L Vitale is a Prosthetic/orthotic Supplier in Modesto, California. Sandra L Vitale practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Sandra L Vitale is 1053414052. The last update date is 2008-06-17.
Sandra L Vitale's current location address is 1005 W Orangeburg Ave, Modesto, California. You can contact this provider via phone number 2095751063 and fax number 2095751065. The mailing address for Sandra L Vitale is 1005 W Orangeburg Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sandra L Vitale |
|---|---|
| Address | 1005 W Orangeburg Ave, Modesto, California |
| Phone Number | 2095751063 |
| Fax Number | 2095751065 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Vitale L Sandy |
| Telephone Number | 2095751063 |
NPI Number Detail
| NPI Number | 1053414052 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 1005 W Orangeburg Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953504163 |
| Phone Number | 2095751063 |
| Fax Number | 2095751065 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GXC000360 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Sandra L Vitale by the Centers for Medicare & Medicaid Services?
The Sandra L Vitale has been issued the NPI (National Provider Identifier) 1053414052, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Sandra L Vitale located?
The Sandra L Vitale is located at 1005 W Orangeburg Ave, Modesto, CA 953504163.
What is the Sandra L Vitale's specialty and taxonomy code?
The Sandra L Vitale's specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.
When was the Sandra L Vitale's 1053414052 issued?
The Sandra L Vitale's 1053414052 was issued on 2006-09-06.
When was the Sandra L Vitale's information last updated?
The Sandra L Vitale's information was last updated on 2008-06-17.
NPI Number: 1336142389
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