Organization Name: | BULLDOG MOBILITY SERVICES, INC. |
NPI Number: | 1093743700 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY M FERGUSON (OWNER/PRESIDENT) |
Mailing Address: | 1630 Northfield Dr Suite 1000 Brownsburg |
State: | IN US |
Postal Code: | 461122498 |
Phone Number: | 3178585185 |
Fax Number: | 3178586336 |
NPI Enumeration Date: | 06/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 0115812954 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |