Revelation Enterprises Inc in Oklahoma City - Prosthetic/orthotic Supplier

Revelation Enterprises Inc - NPI 1740366210

Revelation Enterprises Inc is a Prosthetic/orthotic Supplier in Oklahoma City, Oklahoma. Revelation Enterprises Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Revelation Enterprises Inc is 1740366210. The last update date is 2023-01-24.

Revelation Enterprises Inc's current location address is 4521 Nw 3rd St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4053190685 and fax number 4053190684. The mailing address for Revelation Enterprises Inc is 4521 Nw 3rd St, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Revelation Enterprises Inc
Address 4521 Nw 3rd St, Oklahoma City, Oklahoma
Phone Number 4053190685
Fax Number 4053190684
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Mullin C Anita
Credentials CMF
Telephone Number 4053190685

NPI Number Detail

NPI Number 1740366210
Provider Enumeration Date 2006-10-27
Last Updated Date 2023-01-24

Provider Mailing Address Detail

Address 4521 Nw 3rd St
City Oklahoma City
State Oklahoma (OK)
Post Code 731276401
Phone Number 4053190685
Fax Number 4053190684

Provider's Primary Taxonomy Detail

Speciality Prosthetic/orthotic Supplier
Taxonomy 335E00000X
Licence No 39
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100812360A OK --

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FAQs about Revelation Enterprises Inc

What is the unique 10-digit identifier code assigned to Revelation Enterprises Inc by the Centers for Medicare & Medicaid Services?

The Revelation Enterprises Inc has been issued the NPI (National Provider Identifier) 1740366210 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Revelation Enterprises Inc is located?

The Revelation Enterprises Inc is situated at the following address: 4521 Nw 3Rd St, Oklahoma City, OK, 731276401.

What is the Revelation Enterprises Inc's specialty and taxonomy code?

The Revelation Enterprises Inc's specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.

When did the Revelation Enterprises Inc receive its 1740366210?

The Revelation Enterprises Inc was issued its 1740366210 on 2006-10-27, which is the date when the organization was assigned this unique identifier.

When was the Revelation Enterprises Inc's information last updated?

The Revelation Enterprises Inc's information was last updated on 2023-01-24.

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