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Organization
PROFESSIONALS PRN LLC
Active
Organization
PROFESSIONALS PRN LLC
Active
Other names
Northside Oxygen & Medical Equipement Cambridge
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD JAY STOEPFEL (DIRECTOR)
(740) 454-5666
Entity
Organization
Contact information
Practice address
61353 SOUTHGATE RD, SUITE 2, CAMBRIDGE, OH 43725-6607
(740) 435-9393
(740) 435-0899
Mailing address
133 N MAYSVILLE AVE, ZANESVILLE, OH 43701-6112
(740) 454-5666
(740) 452-7563
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
021364250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2380767
—
OH
Enumeration date
06/04/2006
Last updated
04/25/2021
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