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NPI Code Detail

MEDICARE: DCN OF NEVADA INC

MEDICARE: DCN OF NEVADA 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
1332B00000XDurable Medical Equipment & Medical SuppliesMP00068NV

General Provider Information

NPI Number : 1497869788
Entity Type Code : Organization
Provider Name (Legal Business Name) : DCN OF NEVADA INC
Provider Business Mailing Address
First Line : 125 BELLEVIEW ST
Second Line :
City : MOUNT CLEMENS
State : MI
Zip : 48043-2106
Country : US
Telephone Number : 586-468-9876
Fax Number : 586-468-0226
Provider Business Practice Location Address
First Line : 3950 E SUNSET RD
Second Line : STE 106
City : LAS VEGAS
State : NV
Zip : 89120-4905
Country : US
Telephone Number : 701-221-7970
Fax Number : 701-221-7972
Authorized Official
Title or Position : CEO
Name : GEORGE R CZEISZPERGER
Credential :
Telephone Number : 586-468-9876
Provider Enumeration Date : 08/17/2006
Last Update Date : 08/22/2020

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Directions to “DCN OF NEVADA INC ” Practice Location

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