Organization Name: | FREEDOM MEDICAL LLC |
NPI Number: | 1477536506 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES R BURFOOT (OWNER) |
Mailing Address: | 268 N Main St Ste 2 St Albans |
State: | VT US |
Postal Code: | 054782500 |
Phone Number: | 8025241451 |
Fax Number: | 8025240975 |
NPI Enumeration Date: | 11/22/2005 |
NPI Last Update Date: | 05/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |