E & S Medical Supply Co

NPI 1376642116 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1376642116
Enumeration Date 09/21/2006
Last Updated 01/07/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DEFOREST WAYNE DEFOREST
Position PRESIDENT
Phone (219) 395-1026
Fax (219) 395-1625
Practice Location
500 BROADWAY STE B
CHESTERTON IN, 46304-2393, US
Phone (219) 395-1026
Fax (219) 395-1625
Business Location
500 BROADWAY
STE B
CHESTERTON IN, 46304-2393, US
Phone (219) 395-1026
Fax (219) 395-1625
Toxanomy
Taxonomy Code 332B00000X
License State Indiana
License Number 0007209908
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According to our database, E & S Medical Supply Co NPI is 1376642116, taxonomy code is 332B00000X and license number is 0007209908, license state is located at Indiana. E & S Medical Supply Co physically located at 500 Broadway Ste B, Chesterton IN, 46304-2393. NPI Number 1033115704 has the healthcare provider type.

1376642116 NPI number is provided on an as is basis without warranty of any kind. 1376642116 is maintained by the National Plan & Provider Enumeration System. The contents of E & S Medical Supply Co are for informational purposes only.