Mercer Beauty Supply in Lawton - Prosthetic/orthotic Supplier
Mercer Beauty Supply - NPI 1053506121
Mercer Beauty Supply is a Prosthetic/orthotic Supplier in Lawton, Oklahoma. Mercer Beauty Supply practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Mercer Beauty Supply is 1053506121. The last update date is 2008-07-16.
Mercer Beauty Supply's current location address is 1016 Sw D Ave, Lawton, Oklahoma. You can contact this provider via phone number 5803530690. The mailing address for Mercer Beauty Supply is 1016 Sw D Ave, Lawton, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mercer Beauty Supply |
|---|---|
| Address | 1016 Sw D Ave, Lawton, Oklahoma |
| Phone Number | 5803530690 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Black L Iva |
| Telephone Number | 5803530690 |
NPI Number Detail
| NPI Number | 1053506121 |
|---|---|
| Provider Enumeration Date | 2007-09-11 |
| Last Updated Date | 2008-07-16 |
Provider Mailing Address Detail
| Address | 1016 Sw D Ave |
|---|---|
| City | Lawton |
| State | Oklahoma (OK) |
| Post Code | 73501 |
| Phone Number | 5803530690 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 22498 001 |
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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 Mercer Beauty Supply by the Centers for Medicare & Medicaid Services?
The Mercer Beauty Supply has been assigned the NPI (National Provider Identifier) 1053506121 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mercer Beauty Supply?
The Mercer Beauty Supply is physically situated at 1016 Sw D Ave, in the city of Lawton, state of OK, with the postal code 73501.
What is the Mercer Beauty Supply's specialty and taxonomy code?
The Mercer Beauty Supply's specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.
On what date did the Mercer Beauty Supply receive the assignment of its 1053506121 from the Centers for Medicare & Medicaid Services?
The Mercer Beauty Supply was issued its 1053506121 by the Centers for Medicare & Medicaid Services on 2007-09-11.
When was the information related to Mercer Beauty Supply most recently updated or refreshed?
The details pertaining to the Mercer Beauty Supply, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-16.