Organization Name: | KREG THERAPEUTICS, INC. |
NPI Number: | 1326239591 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA I MAYORGA (MEDICARE BILLER SPECIALIST) |
Mailing Address: | 14200 West Commerce Road Daleville |
State: | IN US |
Postal Code: | 47334 |
Phone Number: | 7734571408 |
Fax Number: | 3128298909 |
NPI Enumeration Date: | 08/05/2007 |
NPI Last Update Date: | 08/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |