Organization Name: | PROFESSIONAL BREATHING ASSOCIATES INC |
NPI Number: | 1669452330 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBIN L MENCHEN (CHIEF ADMINISTRATION OFFICER) |
Mailing Address: | 307 W Cedar Ave Gladwin |
State: | MI US |
Postal Code: | 486242065 |
Phone Number: | 9894261551 |
Fax Number: | 9894262429 |
NPI Enumeration Date: | 01/19/2006 |
NPI Last Update Date: | 10/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |