SPECTICKLES INC.


Address: 9225 N 3rd St Ste 104, Phoenix, AZ 85020-2455
Phone: 6029431663

SPECTICKLES INC. (NPI# 1750432837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750432837
Entity Type Organization
Organization Name SPECTICKLES INC.
Practice Address 9225 N 3rd St Ste 104
Phoenix
AZ 85020-2455
Practice Telephone 6029431663
Mailing Telephone 6029431663
Enumeration Date 2007-01-15
Last Update Date 2020-08-22
Authorized Official Name MR. WILLIAM G JOHNSTON (PRESIDENT)
Authorized Official Telephone 6029431663
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
894E AZ Suppliers

Office Location

Street Address 9225 N 3RD ST STE 104
City PHOENIX
State AZ
Zip Code 85020-2455

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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85020

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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