Dixie A. Fullerton in Las Vegas - Prosthetic/orthotic Supplier
Dixie A. Fullerton - NPI 1609923242
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 1609923242. The last update date is 2012-07-23.
Dixie A. Fullerton's current location address is 1621 Fremont St, Las Vegas, Nevada. You can contact this provider via phone number 7023828287 and fax number 7023880727. The mailing address for Dixie A. Fullerton is 1621 Fremont St, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dixie A. Fullerton |
|---|---|
| Address | 1621 Fremont St, Las Vegas, Nevada |
| Phone Number | 7023828287 |
| Fax Number | 7023880727 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fullerton A Dixie |
| Telephone Number | 7023828287 |
NPI Number Detail
| NPI Number | 1609923242 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2012-07-23 |
Provider Mailing Address Detail
| Address | 1621 Fremont St |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891015413 |
| Phone Number | 7023828287 |
| Fax Number | 7023880727 |
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 |
|---|---|---|---|
| 3302875 | NV | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Dixie A. Fullerton by the Centers for Medicare & Medicaid Services?
The Dixie A. Fullerton has been assigned the NPI (National Provider Identifier) 1609923242 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Dixie A. Fullerton is physically located?
The Dixie A. Fullerton is physically situated at the following address: 1621 Fremont St, Las Vegas, NV, 891015413.
What is Dixie A. Fullerton's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dixie A. Fullerton's area of specialization is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this field of practice is 335E00000X.
On what date did the Dixie A. Fullerton receive its 1609923242 assignment from the Centers for Medicare & Medicaid Services?
The Dixie A. Fullerton was assigned its 1609923242 by the Centers for Medicare & Medicaid Services on 2007-01-05.
When was the information regarding Dixie A. Fullerton most recently updated?
The details pertaining to the Dixie A. Fullerton, including its address, specialty, and other relevant information, were last refreshed on 2012-07-23.