Healthcare Provider Details
I. General information
NPI: 1609481837
Provider Name (Legal Business Name): LOWEST COST CREMATION AND BURIAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/14/2020
Last Update Date: 05/17/2022
Certification Date: 05/17/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4221 MANZANITA AVE
CARMICHAEL CA
95608-1406
US
IV. Provider business mailing address
4221 MANZANITA AVE
CARMICHAEL CA
95608-1406
US
V. Phone/Fax
- Phone: 916-342-1044
- Fax: 916-482-2009
- Phone: 916-342-1044
- Fax: 916-482-2009
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2255A2300X |
| Taxonomy | Athletic Trainer |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CHRISTOPHER
P
MEYER
Title or Position: OWNER
Credential:
Phone: 916-342-1044