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CAROL E. EDWARDS NPI 1114096138


NPI Information

NPI: 1114096138
Provider Name: CAROL E. EDWARDS

Doing Business As: ALL ABOUT BRACES

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1423 N MAIN ST
CLOVIS, NM
ZIP 88101
Phone: (575) 935-4357
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CAROL E. EDWARDS is a durable medical equipment medical supplies in Clovis, NM. The provider is 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. CAROL E. EDWARDS NPI is 1114096138. The provider is registered as an organization entity type.
The provider Is Doing Business As All About Braces.

The provider's business location address is:

1423 N MAIN ST
CLOVIS, NM
ZIP 88101-747
Phone: (575) 935-4357
Fax: (575) 935-4358

The provider's authorized official is Carol Elizabeth Edwards .
The authorized official title is Owner and has the following contact phone number (505) 935-4357.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 10/6/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
3332B00000XDurable Medical Equipment & Medical SuppliesNEW MEXICOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15817970001MEDICARE NSCNEW MEXICO
2NM00TB90OTHERNEW MEXICOBLUE CROSS/BLUE SHIELD
385331783MEDICAIDNEW MEXICO
4=========881010000OTHERNEW MEXICOTRICARE

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

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