Organization
WHEELCHAIR SHOP, INC
Active
Organization
WHEELCHAIR SHOP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SCOTT LEWIS (PRESIDENT)
(219) 872-5804
Entity
Organization
Contact information
Practice address
3944 FRONTAGE RD, MICHIGAN CITY, IN 46360-9264
(219) 872-5804
(219) 872-5814
Mailing address
3944 FRONTAGE RD, MICHIGAN CITY, IN 46360-9264
(219) 872-5804
(219) 872-5814
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1100085347672
IN
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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