Organization
TARGET MICROSYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD GENE RIDGEWAY (CEO & PRESIDENT)
(740) 928-2276
Entity
Organization
Contact information
Practice address
115 AULD RIDGE WAY, HEBRON, OH 43025-9594
(740) 928-2276
(740) 928-2883
Mailing address
115 AULD RIDGE WAY, HEBRON, OH 43025-9594
(740) 928-2276
(740) 928-2883
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2161940
—
OH
Enumeration date
05/07/2007
Last updated
08/22/2020
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