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NPI Code Detail

MEDICARE: PROTEM MEDICAL INC

MEDICARE: PROTEM MEDICAL INC
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
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154357226
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROTEM MEDICAL INC
Provider Business Mailing Address
First Line : 3535 LEE RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44120-5122
Country : US
Telephone Number : 216-663-8188
Fax Number : 216-663-8884
Provider Business Practice Location Address
First Line : 3535 LEE RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44120-5122
Country : US
Telephone Number : 216-663-8188
Fax Number : 216-663-8884
Authorized Official
Title or Position : ADMINISTRATOR
Name : ADA NWORIE
Credential : RN
Telephone Number : 216-663-8188
Provider Enumeration Date : 06/23/2006
Last Update Date : 11/01/2016

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Directions to “PROTEM MEDICAL INC ” Practice Location

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