Central Orthotic & Prosthetic

LBN: Tammy L Dirksen
Central Orthotic & Prosthetic is an health care organization with primary practice located at 2039 N Fine Ave , Fresno CA 93727-1512. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Tammy L Dirksen can be contacted via phone (559) 251-5557, or through Dirksen, Tammy via phone (559) 251-5557.

Contact Information

Primary practice address
2039 N Fine Ave Fresno CA 93727-1512
Phone: (559) 251-5557
Fax: (559) 251-5559
Website:
Map and Directions
Authorized official contact:
Name: Dirksen, Tammy Certified Orthotist (CO)
Phone: (559) 251-5557

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1558559484
LBN Legal business name Tammy L Dirksen
DBA Doing business as Central Orthotic & Prosthetic
Authorized official Dirksen, Tammy Certified Orthotist (CO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2007
Last updated Jul 12th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558559484 NPPES
California MEDICAID GXC000650

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