Organization Name: | PHYSICAL MEDICINE DEVICES LLC |
NPI Number: | 1679660245 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENNIS J SHEAHAN (CEO) |
Mailing Address: | 203 Amicks Ferry Rd Ste 700 Chapin |
State: | SC US |
Postal Code: | 290368696 |
Phone Number: | 8668606650 |
Fax Number: | 8009952763 |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 040678855 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
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 |