Organization Name: | GREGORY J STUCKE |
NPI Number: | 1659615052 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIE A HUBER (BILLING) |
Mailing Address: | 218 Reading Rd Mason |
State: | OH US |
Postal Code: | 450401665 |
Phone Number: | 5133983886 |
Fax Number: | 5133989836 |
NPI Enumeration Date: | 11/26/2012 |
NPI Last Update Date: | 02/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 5980 |
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 |