Organization Name: | REG. NICHOLS SALES LLC |
NPI Number: | 1871599118 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BREN M SULLIVAN (MANAGING MEMBER) |
Mailing Address: | 246 Market St Meeker |
State: | CO US |
Postal Code: | 816413419 |
Phone Number: | 9708785883 |
Fax Number: | 9708784736 |
NPI Enumeration Date: | 06/22/2005 |
NPI Last Update Date: | 11/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 325 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |