Organization Name: | PHILIP A MAYNARD |
NPI Number: | 1033398144 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHILIP A MAYNARD (OWNER) |
Mailing Address: | 416 N Minnesota Ave Hastings |
State: | NE US |
Postal Code: | 689015254 |
Phone Number: | 4024622788 |
Fax Number: | 4024624783 |
NPI Enumeration Date: | 10/25/2007 |
NPI Last Update Date: | 01/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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 |