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Organization
PROFESSIONALS PRN LLC
Active
Organization
PROFESSIONALS PRN LLC
Active
Other names
Northside Oxygen & Medical Equipment Perry County
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROD B STICKRATH RPH (DIRECTOR)
(740) 454-5666
Entity
Organization
Contact information
Practice address
301 DR. MIKE CLOUSE DRIVE, SOMERSET, OH 43783
(740) 743-1590
(740) 743-2579
Mailing address
1132 TAYLOR ST, ZANESVILLE, OH 43701-2658
(740) 454-5666
(740) 452-7563
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
021273150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2380749
—
OH
Enumeration date
06/14/2006
Last updated
01/09/2014
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