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GREAT LAKES DME LLC NPI 1295086437


NPI Information

NPI: 1295086437
Provider Name: GREAT LAKES DME, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4960 HIGBEE AVE NW
SUITE 101
CANTON, OH
ZIP 44718
Phone: (330) 493-0201
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GREAT LAKES DME, LLC is a durable medical equipment medical supplies in Canton, OH. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. GREAT LAKES DME, LLC NPI is 1295086437. The provider is registered as an organization entity type.

The provider's business location address is:

4960 HIGBEE AVE NW
SUITE 101
CANTON, OH
ZIP 44718-598
Phone: (330) 493-0201
Fax: (330) 493-0210

The provider's authorized official is Eric Ginanni .
The authorized official title is President and has the following contact phone number (330) 493-0201.

The enumeration date for this NPI number is 9/27/2012 and was last updated on 10/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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