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NPI Code Detail

MEDICARE: DONN & DOFF INC

MEDICARE: DONN & DOFF INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2AAA28189AOTHERCABLUE SHIELD
3ZZZ28189ZOTHERCABLUE CROSS

General Provider Information

NPI Number : 1144317306
Entity Type Code : Organization
Provider Name (Legal Business Name) : DONN & DOFF INC
Provider Business Mailing Address
First Line : 2102 CIVIC CENTER DR
Second Line :
City : REDDING
State : CA
Zip : 96001-2704
Country : US
Telephone Number : 530-241-4040
Fax Number : 530-241-4092
Provider Business Practice Location Address
First Line : 206A ROELOFS CT
Second Line :
City : MOUNT SHASTA
State : CA
Zip : 96067-2761
Country : US
Telephone Number : 530-926-0560
Fax Number : 530-926-0560
Authorized Official
Title or Position : CORPORATION SECRETARY
Name : MRS. DONA TEGERSTRAND
Credential :
Telephone Number : 530-241-4040
Provider Enumeration Date : 10/09/2006
Last Update Date : 07/21/2022

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Directions to “DONN & DOFF INC ” Practice Location

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