Organization
YOUR CPAP STORE
Active
Organization
YOUR CPAP STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD W MILLER (CEO)
(715) 514-3608
Entity
Organization
Contact information
Practice address
800 WISCONSIN ST, BLDG D02 SUITE 420B, EAU CLAIRE, WI 54703-3588
(715) 514-3608
(715) 514-3609
Mailing address
PO BOX 65, BANBURY PLACE 800 WISCONSIN ST, EAU CLAIRE, WI 54702-0065
(715) 514-3608
(715) 514-3609
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
036102855077304
WI
Other
Enumeration date
11/08/2014
Last updated
11/08/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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