Organization Name: | STEVE'S VANS & ACCESSORIES UNLIMITED LLC |
NPI Number: | 1164508776 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN KEITH HESSON (OWNER) |
Mailing Address: | 211 S 8th St Marietta |
State: | OH US |
Postal Code: | 457503349 |
Phone Number: | 7403743154 |
Fax Number: | 7403749713 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 12/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 84018902 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |