Rodney D. Henson in Stockton - Prosthetic/orthotic Supplier
Rodney D. Henson - NPI 1932195195
Rodney D. Henson is a Prosthetic/orthotic Supplier in Stockton, California. Rodney D. Henson practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Rodney D. Henson is 1932195195. The last update date is 2015-09-08.
Rodney D. Henson's current location address is 2540 Pacific Ave, Stockton, California. You can contact this provider via phone number 2099449990 and fax number 2099449992. The mailing address for Rodney D. Henson is 2540 Pacific Ave, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rodney D. Henson |
|---|---|
| Address | 2540 Pacific Ave, Stockton, California |
| Phone Number | 2099449990 |
| Fax Number | 2099449992 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Henson Douglas Rodney |
| Credentials | CPO 02313 |
| Telephone Number | 2099449990 |
NPI Number Detail
| NPI Number | 1932195195 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2015-09-08 |
Provider Mailing Address Detail
| Address | 2540 Pacific Ave |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952044400 |
| Phone Number | 2099449990 |
| Fax Number | 2099449992 |
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 |
|---|---|---|---|
| XC0023130 | CA | -- |
Post Comment/ Review Below
What is the Rodney D. Henson's unique identification number?
The Rodney D. Henson has been assigned the NPI (National Provider Identifier) Number 1932195195 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Rodney D. Henson located?
The Rodney D. Henson is located at 2540 Pacific Ave, Stockton, CA 952044400.
What is Rodney D. Henson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Rodney D. Henson's specialized field of practice is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1932195195 to Rodney D. Henson?
The Centers for Medicare & Medicaid Services assigned the 1932195195 to Rodney D. Henson on 2005-09-23.
As of what date were the details pertaining to Rodney D. Henson last refreshed?
The information related to the Rodney D. Henson, including its address, specialty, and other relevant details, was last updated on 2015-09-08.