DOMERLIN SODUSTA NPI 1679978084

NPI Information

Domerlin Sodusta is a durable medical equipment medical supplies in Omaha, NE. 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. Domerlin Sodusta NPI is 1679978084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4905 S 107TH AVE
SUITE 206
OMAHA, NE
ZIP 68127-965
Phone: (402) 968-1643

The enumeration date for this NPI number is 10/28/2014 and was last updated on 10/28/2014.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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