Dls Medical Equipment Provider

LBN: Dls Medical Equipment Provider
Dls Medical Equipment Provider is an health care organization with primary practice located at 4115 N 56Th St Suite B165, Milwaukee WI 53216-1269. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Dls Medical Equipment Provider can be contacted via phone (414) 349-1012, or through Fuller, Katina via phone (414) 349-1012.

Contact Information

Primary practice address
4115 N 56Th St Suite B165 Milwaukee WI 53216-1269
Phone: (414) 349-1012
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Katina
Phone: (414) 349-1012

Health care specialties

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

Profile Details

NPI number 1922274521
LBN Legal business name Dls Medical Equipment Provider
DBA Doing business as
Authorized official Fuller, Katina
Entity Organization
Organization subpart 1 Yes
Enumeration date May 2nd, 2008
Last updated May 2nd, 2008 - about 16 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 1922274521 NPPES
Wisconsin MEDICAID 41567700

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