Organization
OXYGEN SPECIALISTS AND RESPIRATORY SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANA JEAN LEIFERMAN RRT (OWNER)
(402) 571-5911
Entity
Organization
Contact information
Practice address
10607 BONDESSON CIR, OMAHA, NE 68122-9700
(402) 571-5911
(402) 571-5913
Mailing address
10607 BONDESSON CIR, OMAHA, NE 68122-9700
(402) 571-5911
(402) 571-5913
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
126
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0577254
—
IA
05
—
10042973300
—
NE
01
—
36902
DME PROVIDER BCBS
NE
Enumeration date
02/25/2007
Last updated
08/22/2020
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