Dixie A. Fullerton in Las Vegas - Prosthetic/orthotic Supplier
Dixie A. Fullerton - NPI 1336296979
Dixie A. Fullerton is a Prosthetic/orthotic Supplier in Las Vegas, Nevada. Dixie A. Fullerton practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Dixie A. Fullerton is 1336296979. The last update date is 2012-07-23.
Dixie A. Fullerton's current location address is 1618 E Charleston Blvd, Las Vegas, Nevada. You can contact this provider via phone number 7023845121 and fax number 7023844416. The mailing address for Dixie A. Fullerton is 1618 E Charleston Blvd, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dixie A. Fullerton |
|---|---|
| Address | 1618 E Charleston Blvd, Las Vegas, Nevada |
| Phone Number | 7023845121 |
| Fax Number | 7023844416 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fullerton A Dixie |
| Telephone Number | 7023845121 |
NPI Number Detail
| NPI Number | 1336296979 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2012-07-23 |
Provider Mailing Address Detail
| Address | 1618 E Charleston Blvd |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891041826 |
| Phone Number | 7023845121 |
| Fax Number | 7023844416 |
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 |
|---|---|---|---|
| 3302425 | NV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dixie A. Fullerton by the Centers for Medicare & Medicaid Services (CMS)?
The Dixie A. Fullerton has been assigned the NPI (National Provider Identifier) 1336296979. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Dixie A. Fullerton's facilities are geographically located?
The facilities of Dixie A. Fullerton are physically situated at the following location: 1618 E Charleston Blvd, Las Vegas, NV, 891041826.
What is the Dixie A. Fullerton's specialty and taxonomy code?
The Dixie A. Fullerton's specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.
On what date did the Dixie A. Fullerton receive the assignment of its 1336296979 from the Centers for Medicare & Medicaid Services?
The Dixie A. Fullerton was issued its 1336296979 by the Centers for Medicare & Medicaid Services on 2007-01-05.
As of what date were the Dixie A. Fullerton's details last updated?
The information pertaining to the Dixie A. Fullerton, including its address, specialty, and other details, was most recently updated on 2012-07-23.
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