ELOISE CATHERINE THACKER C70773
NPI 1730914458
Durable Medical Equipment & Medical Supplies in San Bernardino, CA
- Individual
- Female
- Durable Medical Equipment & Medical Supp...
About ELOISE THACKER
This page provides the complete NPI Profile along with additional information for Eloise Thacker, a provider established in San Bernardino, California with a medical specialization in Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1730914458 assigned on September 2024. The practitioner's primary taxonomy code is 332B00000X with license number C70773 (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1730914458 Verify this NPI
- Provider Name
- ELOISE CATHERINE THACKER C70773
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 355 E 21ST ST SAN BERNARDINO, CA 92404
- Location Phone
- (909) 882-0193
- Location Fax
- (909) 883-4834
- Mailing Address
- 355 E 21ST ST STE J SAN BERNARDINO, CA 92404
- Mailing Phone
- (909) 882-0193
- Mailing Fax
- (909) 883-4834
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-03-2024
- Last Update Date
- 09-03-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License No.
- C70773
- License State
- CA
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730914458, enumerated as an "individual" on September 03, 2024.
The provider is located at 355 E 21ST ST SAN BERNARDINO, CA 92404 and the phone number is (909) 882-0193.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
