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Physician's Choice Home Medical Supply Llc
Prosthetic/Orthotic Supplier in Bossier City, Louisiana
NPI 1255382123

Physician's Choice Home Medical Supply Llc is a Prosthetic/Orthotic Supplier based in Bossier City, LA. Physician's Choice Home Medical Supply Llc practices in Bossier City, LA. The NPI Number for Physician's Choice Home Medical Supply Llc is 1255382123 and holds a License No. 080011399 (Louisiana).

The current practice location address for Physician's Choice Home Medical Supply Llc is 2161 Airline Dr Ste B, Bossier City, LA and can be reached out via phone at 318-746-6288 and via fax at 318-746-7911.

Location: 2161 Airline Dr Ste B, Bossier City, LA, 71111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255382123
Provider Name
Physician's Choice Home Medical Supply Llc
Credential
Provider Entity Type
Organization
Address
2161 Airline Dr Ste B, Bossier City, LA, 71111
Phone Number
318-746-6288
Fax Number
318-746-7911
Provider Enumeration Date
05/15/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
F8865 01 LA BLUE CROSS BLUE SHIELD
002107964 01 LA UNITED HEALTHCARE
1434558 05 LA
institution
Provider Business Practice Location Address Details
Address
2161 Airline Dr Ste B
City
Bossier City
State
Louisiana
Zip
71111-3172
Phone Number
318-746-6288
Fax Number
318-746-7911
person
Provider Business Mailing Address Details
Address
2161 Airline Dr Ste B
City
Bossier City
State
Louisiana
Zip
71111-3172
Phone Number
318-746-6288
Fax Number
318-746-7911
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
080011399 (Louisiana)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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