Organization
FORT MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN CARL (EXECUTIVE)
(847) 310-4730
Entity
Organization
Contact information
Practice address
306 WASHINGTON ST, FORT ATKINSON, WI 53538-1741
(920) 568-9860
(920) 568-9861
Mailing address
306 WASHINGTON ST, FORT ATKINSON, WI 53538-1741
(920) 568-9860
(920) 568-9861
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41725100
—
WI
Enumeration date
02/05/2007
Last updated
06/23/2016
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