Organization
OXYGEN PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DAVID ALLEN RCP (MEMBER)
(574) 583-4747
Entity
Organization
Contact information
Practice address
111 S MAIN ST, MONTICELLO, IN 47960-2329
(574) 583-4747
Mailing address
PO BOX 152, 111 S MAIN STREET, MONTICELLO, IN 47960-0152
(574) 583-4747
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314448
BLUE CROSS BLUE SHIELD
IN
Enumeration date
09/21/2006
Last updated
08/22/2020
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