Organization
PHOENIX MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB NIELSEN (OWNER)
(262) 955-8911
Entity
Organization
Contact information
Practice address
512 OAKLAND AVE, WAUKESHA, WI 53186-5573
(262) 955-8911
Mailing address
512 OAKLAND AVE, WAUKESHA, WI 53186-5573
(262) 955-8911
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
456-1028557037-02
WI
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
456-1028557037-02
WI
332BX2000X
Oxygen Equipment & Supplies (DME)
456-1028557037-02
WI
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us