MRS. WANDA D MOORE DME NPI 1013042514

NPI Information

NPI: 1013042514
Provider Name: MRS. WANDA D MOORE, DME
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Individual
Address:
2213 N LIMESTONE ST
SPRINGFIELD, OH
ZIP 45503
Phone: (937) 399-6477
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MRS. Wanda D Moore, DME is a durable medical equipment medical supplies in Springfield, 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. MRS. Wanda D Moore, DME NPI is 1013042514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2213 N LIMESTONE ST
SPRINGFIELD, OH
ZIP 45503-635
Phone: (937) 399-6477

The enumeration date for this NPI number is 2/23/2007 and was last updated on 7/9/2007.

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	332B00000X	Durable Medical Equipment & Medical Supplies		NA		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	4596580002	MEDICARE NSC	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: 11/14/2023

NPI Synchronization or Removal

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