MEDICARE: AFTERMARKET IND 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	332BC3200X	Customized Equipment (DME)

Other Identifiers

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

General Provider Information

NPI Number	:	1265608517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFTERMARKET IND CORP

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

Provider Business Practice Location Address
First Line	:	4821 BRIAR ROAD
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	:	PRES
Name	:	MR. WALLACE R MATTHEI
Credential	:
Telephone Number	:	216-362-1422

Provider Enumeration Date	:	05/07/2008
Last Update Date	:	05/07/2008

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Directions to “AFTERMARKET IND CORP ” Practice Location

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