Organization
MAGIC WHEELS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL BAECHLER (CEO)
(866) 624-4294
Entity
Organization
Contact information
Practice address
3837 13TH AVE W, SUITE 104, SEATTLE, WA 98119-1354
(206) 282-0760
(206) 282-0765
Mailing address
3837 13TH AVE W, SUITE 104, SEATTLE, WA 98119-1354
(206) 282-0760
(206) 282-0765
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V797P-3144M
VETERANS ADMINISTRATION FEDERAL SUPPLY SERVICES CONTRACT
—
Enumeration date
08/14/2008
Last updated
08/14/2008
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