Organization Name: | JOSEPH M. THALLEMER, O.D., P.C. |
NPI Number: | 1013186253 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH M. THALLEMER (OWNER) |
Mailing Address: | 3301 E Center Street Ext Warsaw |
State: | IN US |
Postal Code: | 465823909 |
Phone Number: | 5742693828 |
Fax Number: | 5742693848 |
NPI Enumeration Date: | 02/21/2008 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |