Steve Matthew Ditto

Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Walnut Ridge, AR

NPI 1043604267 · NPPES record last updated Mar 25, 2015

Key facts

NPI
1043604267
Entity type
Individual (NPI type 1)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Practice address
1045 W Main St Ste B
Walnut Ridge, AR 72476-1004
Phone
(870) 679-1506
Fax
(870) 679-1507
NPI assigned
Mar 25, 2015
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X AR Yes
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

1045 W Main St Ste B
Walnut Ridge, AR 72476-1004

Mailing address

1045 W Main St Ste B
Walnut Ridge, AR 72476-1004
Phone (870) 679-1506

Other providers in Walnut Ridge, AR

All providers in Walnut Ridge, AR · Durable Medical Equipment & Medical Supplies in Arkansas

Sources for this page

Verify at the official NPI Registry.