Organization
SIMPLY THICK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L. HOLAHAN (PRESIDENT)
(888) 721-2023
Entity
Organization
Contact information
Practice address
1812 WALTON RD, OVERLAND, MO 63114-5820
(888) 721-2023
(800) 508-2990
Mailing address
1812 WALTON RD, OVERLAND, MO 63114-5820
(888) 721-2023
(800) 508-2990
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167147
—
OH
05
—
100795170A
—
OK
Enumeration date
03/13/2008
Last updated
04/30/2024
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