Nissi Corp

NPI 1063680064 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1063680064
Enumeration Date 02/13/2008
Last Updated 06/09/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LAWRENCE EDWARD LAWRENCE
Position PRESIDENT
Phone (815) 654-1900
Fax
Practice Location
5823 E RIVERSIDE BLVD
ROCKFORD IL, 61114-4963, US
Phone (815) 654-1900
Fax
Business Location
5823 E RIVERSIDE BLVD
ROCKFORD IL, 61114-4963, US
Phone (815) 654-1900
Fax
Toxanomy
Taxonomy Code 332B00000X
License State Illinois
License Number 212000137
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According to our database, Nissi Corp NPI is 1063680064, taxonomy code is 332B00000X and license number is 212000137, license state is located at Illinois. Nissi Corp physically located at 5823 E Riverside Blvd, Rockford IL, 61114-4963. NPI Number 1033115704 has the healthcare provider type.

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1063680064 NPI number is provided on an as is basis without warranty of any kind. 1063680064 is maintained by the National Plan & Provider Enumeration System. The contents of Nissi Corp are for informational purposes only.