Sportopedics Medical Shoppe Inc.

LBN: Sportopedics Medical Shoppe Inc.
Sportopedics Medical Shoppe Inc. is an health care organization with primary practice located at 1222 S Patterson Blvd Suite #130, Dayton OH 45402-2684. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Sportopedics Medical Shoppe Inc. can be contacted via phone (937) 461-2663, or through Dunlap, Richard A. via phone (937) 475-7210.

Contact Information

Primary practice address
1222 S Patterson Blvd Suite #130 Dayton OH 45402-2684
Phone: (937) 461-2663
Fax: (937) 461-3448
Website:
Map and Directions
Authorized official contact:
Name: Dunlap, Richard A.
Phone: (937) 475-7210

Health care specialties

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

Profile Details

NPI number 1932187655
LBN Legal business name Sportopedics Medical Shoppe Inc.
DBA Doing business as
Authorized official Dunlap, Richard A.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2006
Last updated Jun 28th, 2012 - about 12 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 1932187655 NPPES
Ohio MEDICAID 0301408

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