Carefree Footwear

LBN: Dixie A. Fullerton
Carefree Footwear is an health care organization with primary practice located at 1618 E Charleston Blvd , Las Vegas NV 89104-1826. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Dixie A. Fullerton can be contacted via phone (702) 384-5121, or through Fullerton, Dixie A via phone (702) 384-5121.

Contact Information

Primary practice address
1618 E Charleston Blvd Las Vegas NV 89104-1826
Phone: (702) 384-5121
Fax: (702) 384-4416
Website:
Map and Directions
Authorized official contact:
Name: Fullerton, Dixie A
Phone: (702) 384-5121

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1336296979
LBN Legal business name Dixie A. Fullerton
DBA Doing business as Carefree Footwear
Authorized official Fullerton, Dixie A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 23rd, 2012 - about 14 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 1336296979 NPPES
Nevada MEDICAID 003302425

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