Organization
FREEDOM MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL DAVID SCHENKEL (OWNER)
(260) 433-7543
Entity
Organization
Contact information
Practice address
7616 DISALLE BLVD STE A, FORT WAYNE, IN 46825-3383
(888) 790-9896
(260) 451-2530
Mailing address
7616 DISALLE BLVD STE A, FORT WAYNE, IN 46825-3383
(888) 790-9896
(260) 451-2530
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
69001171A
IN
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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