Organization Name: | BRAD MCMILLIN, INC |
NPI Number: | 1558587667 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATTY L MCCUBBINS (ACCOUNTS RECEIVABLE) |
Mailing Address: | 1108 N Carbon St Marion |
State: | IL US |
Postal Code: | 629591067 |
Phone Number: | 6189975856 |
Fax Number: | 6189975953 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 04/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Hearing Aid Equipment |
Taxonomy Specialization: | |
Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |