Philadelphia Rehab

LBN: Chesapeake Medical Supply, Inc
Philadelphia Rehab is an health care organization with primary practice located at 937 Chester Pike 4M, Prospect Park PA 19076-2331. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Chesapeake Medical Supply, Inc can be contacted via phone (215) 755-0255, or through Bouslog, David E via phone (215) 755-0255.

Contact Information

Primary practice address
937 Chester Pike 4M Prospect Park PA 19076-2331
Phone: (215) 755-0255
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bouslog, David E ATP
Phone: (215) 755-0255

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 6000004048 Pennsylvania
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1053452326
LBN Legal business name Chesapeake Medical Supply, Inc
DBA Doing business as Philadelphia Rehab
Authorized official Bouslog, David E ATP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Feb 27th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053452326 NPPES
Pennsylvania MEDICAID 0012883280002
Pennsylvania MEDICAID 0000538218

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