Organization
WESTERN CPAP SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALAN SCHULTZ RPSGT (OWNER)
(308) 633-3000
Entity
Organization
Contact information
Practice address
4100 LARAMIE ST, SUITE 2, CHEYENNE, WY 82001-1969
(307) 426-4012
(308) 633-3001
Mailing address
416 VALLEY VIEW DR, SUITE 400, SCOTTSBLUFF, NE 69361-1486
(308) 633-3000
(308) 633-3001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
WD-1197 WY
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053472191
—
WY
Enumeration date
08/24/2009
Last updated
04/28/2010
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