Organization
WAVE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN WAYNE LEWIS MBA (PRESIDENT/CEO)
(251) 990-0708
Entity
Organization
Contact information
Practice address
333 GREENO RD S, SUITE C, FAIRHOPE, AL 36532-1930
(251) 990-0708
Mailing address
333 GREENO RD S, SUITE C, FAIRHOPE, AL 36532-1930
(251) 990-0708
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1370
ALABAMA BOARD OF HOME MEDICAL EQUIPMENT LICENSE
AL
Enumeration date
10/27/2014
Last updated
06/05/2015
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