MEDICARE: MR. CHESTER K DOBSON

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1477577880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHESTER K DOBSON

Provider Business Mailing Address
First Line	:	1661 CANAL ST
Second Line	:	SUITE 3140
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2861
Country	:	US
Telephone Number	:	504-310-0442
Fax Number	:	504-310-0414

Provider Business Practice Location Address
First Line	:	1661 CANAL ST
Second Line	:	SUITE 3140
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2861
Country	:	US
Telephone Number	:	504-310-0442
Fax Number	:	504-310-4014

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	12/05/2007

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Directions to “ MR. CHESTER K DOBSON ” Practice Location

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