PROFESSIONALS PRN LLC NPI 1982647954

NPI Information

NPI: 1982647954
Provider Name: PROFESSIONALS PRN LLC

Doing Business As: NORTHSIDE OXYGEN & MEDICAL EQUIPMENT PERRY COUNTY

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
301 DR. MIKE CLOUSE DRIVE
SOMERSET, OH
ZIP 43783
Phone: (740) 743-1590
Get Directions

PROFESSIONALS PRN LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Somerset, OH. PROFESSIONALS PRN LLC NPI is 1982647954. The provider is registered as an organization entity type.
The provider Is Doing Business As Northside Oxygen & Medical Equipment Perry County.

The provider's business location address is:

301 DR. MIKE CLOUSE DRIVE
SOMERSET, OH
ZIP 43783
Phone: (740) 743-1590
Fax: (740) 743-2579

The provider's authorized official is Rod B Stickrath .
The authorized official title is Director and has the following contact phone number (740) 454-5666.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 1/9/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	021273150	OHIO	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2380749	MEDICAID	OHIO
2	0451910003	MEDICARE ID-TYPE UNSPECIFIED	OHIO

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

NPI Synchronization or Removal

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