Debadon Llc in Brookhaven - Prosthetic/orthotic Supplier
Debadon Llc - NPI 1629264205
Debadon Llc is a Prosthetic/orthotic Supplier in Brookhaven, Pennsylvania. Debadon Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Debadon Llc is 1629264205. The last update date is 2008-02-19.
Debadon Llc's current location address is 2711 Edgmont Ave, Brookhaven, Pennsylvania. You can contact this provider via phone number 6108764935 and fax number 6108765940. The mailing address for Debadon Llc is 2711 Edgmont Ave, Brookhaven, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Debadon Llc |
|---|---|
| Address | 2711 Edgmont Ave, Brookhaven, Pennsylvania |
| Phone Number | 6108764935 |
| Fax Number | 6108765940 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Asplen Bruce Donald |
| Telephone Number | 6108764935 |
NPI Number Detail
| NPI Number | 1629264205 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2008-02-19 |
Provider Mailing Address Detail
| Address | 2711 Edgmont Ave |
|---|---|
| City | Brookhaven |
| State | Pennsylvania (PA) |
| Post Code | 190153316 |
| Phone Number | 6108764935 |
| Fax Number | 6108765940 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
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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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What is the unique 10-digit identifier code issued to Debadon Llc by the Centers for Medicare & Medicaid Services?
The Debadon Llc has been assigned the NPI (National Provider Identifier) 1629264205 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Debadon Llc's physical address?
The Debadon Llc is physically located at 2711 Edgmont Ave, in the city of Brookhaven, PA, with the postal code 190153316.
What is the Debadon Llc's area of specialization and corresponding taxonomy classification?
The Debadon Llc's specialty field is Prosthetic/orthotic Supplier, and it falls under the taxonomy code 335E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1629264205 to Debadon Llc?
The Debadon Llc received its 1629264205 assignment from the Centers for Medicare & Medicaid Services on 2007-09-18.
As of what date were the details related to Debadon Llc most recently updated or revised?
The information pertaining to Debadon Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-19.
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