Organization Name: | JAMES E. GLENEWINKEL, GLENEWINKEL SALES SERVICE, MOBILITY STORE & MORE |
NPI Number: | 1235130535 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES E GLENEWINKEL (OWNER) |
Mailing Address: | 1116 E Kingsbury St Seguin |
State: | TX US |
Postal Code: | 781552148 |
Phone Number: | 8303860446 |
Fax Number: | 8303032966 |
NPI Enumeration Date: | 08/09/2005 |
NPI Last Update Date: | 08/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 0069926 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |