Organization
CHIPPEWA VALLEY MEDICAL SUPPLY LLC
Active
Organization
CHIPPEWA VALLEY MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY EHRHARD (PRESIDENT/OWNER)
(715) 874-5564
Entity
Organization
Contact information
Practice address
6204 CHUCK LN STE B, EAU CLAIRE, WI 54703-9643
(715) 874-5564
(715) 874-5565
Mailing address
6204 CHUCK LN STE B, EAU CLAIRE, WI 54703-9643
(715) 874-5564
(715) 874-5565
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/31/2012
Last updated
10/13/2014
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