Organization Name: | ESSENTIAL MEDICAL SHOP, LLC |
NPI Number: | 1619356086 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YAKUB OLADELE (PRESIDENT) |
Mailing Address: | 8385 N Main St Dayton |
State: | OH US |
Postal Code: | 454151602 |
Phone Number: | 9378900449 |
Fax Number: | 9378900454 |
NPI Enumeration Date: | 05/19/2015 |
NPI Last Update Date: | 05/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | HMEL 11687 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |