Organization Name: | MICHELLE MARIE MONCIER |
NPI Number: | 1497975569 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE MARIE MONCIER (PRESIDENT) |
Mailing Address: | 1145 Volunteer Pkwy Sutie 5 Bristol |
State: | TN US |
Postal Code: | 376204652 |
Phone Number: | 4237642713 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2007 |
NPI Last Update Date: | 06/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0000000692 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |