Organization Name: | DELWYN J NAGENGAST MD OFFICE |
NPI Number: | 1972703023 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DELWYN J NAGENGAST (OWNER) |
Mailing Address: | 110 East Main St Bloomfield |
State: | NE US |
Postal Code: | 68718 |
Phone Number: | 4023734311 |
Fax Number: | 4033734344 |
NPI Enumeration Date: | 07/18/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 9951 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
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 |