DREW HITTENBERGER AND ASSOCIATES NPI 1083766331

NPI Information

NPI: 1083766331
Provider Name: DREW HITTENBERGER AND ASSOCIATES
Classification: Orthotic Fitter - 225000000X
Entity Type: Organization
Address:
1111 SONOMA AVE
SUITE 106
SANTA ROSA, CA
ZIP 95405
Phone: (707) 765-1122
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DREW HITTENBERGER AND ASSOCIATES is an orthotic fitter in Santa Rosa, CA. The provider is an individual trained in the management of fitting prefabricated orthoses. DREW HITTENBERGER AND ASSOCIATES NPI is 1083766331. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1111 SONOMA AVE
SUITE 106
SANTA ROSA, CA
ZIP 95405-819
Phone: (707) 765-1122
Fax: (707) 765-4571

The provider's authorized official is Drew Arnold Hittenberger .
The authorized official title is Owner and has the following contact phone number (707) 765-1122.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 4/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225000000X	Orthotic Fitter			CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GXC000120	MEDICAID	CALIFORNIA
2	4129830001	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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