MEDICARE: AFTERMARKET INDUSTRIES CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171WV0202X	Vehicle Modifications Contractor

General Provider Information

NPI Number	:	1093147332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFTERMARKET INDUSTRIES CORP.

Provider Business Mailing Address
First Line	:	4821 BRIAR RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44135-5039
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4821 BRIAR RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44135-5039
Country	:	US
Telephone Number	:	216-362-1422
Fax Number	:	216-362-1426

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. BRIAN P MATTHEI
Credential	:
Telephone Number	:	216-362-1422

Provider Enumeration Date	:	08/08/2013
Last Update Date	:	08/08/2013

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