Organization Name: | BREEDLOVE MEDICAL, INC |
NPI Number: | 1841497021 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS L EWING (REGIONAL MGR) |
Mailing Address: | 620 Bayou Tortue Rd B 1 Broussard |
State: | LA US |
Postal Code: | 705187506 |
Phone Number: | 3378377776 |
Fax Number: | 3378377796 |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1477645001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |