Organization
STEVE'S VANS & ACCESSORIES UNLIMITED LLC
Active
Other names
MARIETTA MOBILITY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN KEITH HESSON (OWNER)
(740) 374-3154
Entity
Organization
Contact information
Practice address
211 S 8TH ST, MARIETTA, OH 45750-3349
(740) 374-3154
(740) 374-9713
Mailing address
211 S 8TH ST, MARIETTA, OH 45750-3349
(740) 374-3154
(740) 374-9713
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
84018902
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000242032
ANTHEM BLUE CROSS BLUE SH
OH
01
—
2015250
MEDICAL CASE MANAGEMENT
OH
05
—
2015250
—
OH
01
—
31109997500
BWC
OH
01
—
311099975002
MEDICAL MUTUAL OF OHIO
OH
05
—
6204048000
—
WV
01
—
8400493
MRDD
OH
Enumeration date
10/27/2006
Last updated
12/16/2008
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