Organization Name: | THE THOMAS SHOP |
NPI Number: | 1174620082 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHY E. THOMAS (OWNER/FITTER) |
Mailing Address: | 200 W Jefferson Ave Effingham |
State: | IL US |
Postal Code: | 624012346 |
Phone Number: | 2173422733 |
Fax Number: | 2173426138 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0229690001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |