Organization
SCOOTER STORE-GREEN BAY LLC
Active
Parent organization
THE SCOOTER STORE - USA, INC.
Other names
The SCOOTER Store/Alliance Seating and Mobility
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE SCOOTER STORE - USA, INC.
Authorized official
JASON CONE (GENERAL COUNSEL & SECRETARY)
(830) 627-4433
Entity
Organization
Contact information
Practice address
3000 E ENTERPRISE AVE UNIT B, APPLETON, WI 54913-7769
(920) 997-1769
Mailing address
PO BOX 310709, NEW BRAUNFELS, TX 78131-0709
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41737800
—
WI
05
—
4668044
—
MI
Enumeration date
07/15/2006
Last updated
08/02/2013
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