Organization
MIDWEST MEDICAL EQUIPMENT CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL BROCKMAN (PRESIDENT/OWNER)
(614) 895-0969
Entity
Organization
Contact information
Practice address
785 S STATE ST, WESTERVILLE, OH 43081-3357
(614) 895-0969
Mailing address
785 S STATE ST, WESTERVILLE, OH 43081-3357
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000178553
ANTHEM
OH
05
—
0257878
—
OH
Enumeration date
08/11/2006
Last updated
08/22/2020
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