Organization Name: | DICKSON MEDICAL EQUIPMENT INC. |
NPI Number: | 1194710707 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC JASON SHIFLET (VICE PRESIDENT) |
Mailing Address: | 760 Highway 46 S Dickson |
State: | TN US |
Postal Code: | 370552556 |
Phone Number: | 6154467444 |
Fax Number: | 6154467483 |
NPI Enumeration Date: | 09/20/2005 |
NPI Last Update Date: | 03/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 4682220001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |