| Organization Name: | CRIBCRAFTERS |
| NPI Number: | 1043407240 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRAD MEYER (OWNER) |
| Mailing Address: | 2206 Castle Rock Sq Apt 22c Reston |
| State: | VA US |
| Postal Code: | 201912206 |
| Phone Number: | 7033380822 |
| Fax Number: | 7038807058 |
| NPI Enumeration Date: | 10/02/2007 |
| NPI Last Update Date: | 10/02/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 2705109387 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |