Doctor Name: | MR. DON LOUIE |
NPI Number: | 1255594057 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 10052 |
Business Practice Address: | 6051 Enterprise Dr Suite 103 Diamond Springs, CA - 956199447 |
Business Phone Number: | 5306212055 |
Business Fax Number: | 5306212311 |
Mailing Address: | 6051 Enterprise Dr, Suite 103 DIAMOND SPRINGS |
State: | CA |
Postal Code: | 956199447 |
Phone Number: | 5306212055 |
Fax Number: | 5306212311 |
NPI Enumeration Date: | 07/02/2008 |
NPI Last Update Date: | 03/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 10052 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |