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NPI Code Detail

MEDICARE: ACE WHEELCHAIRS

MEDICARE: ACE WHEELCHAIRS
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
1332BC3200XCustomized Equipment (DME)
2332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1760774442
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACE WHEELCHAIRS
Provider Business Mailing Address
First Line : PO BOX 11071
Second Line :
City : BURBANK
State : CA
Zip : 91510-1071
Country : US
Telephone Number : 818-726-3421
Fax Number :
Provider Business Practice Location Address
First Line : 2515 N BUENA VISTA ST
Second Line :
City : BURBANK
State : CA
Zip : 91504-2619
Country : US
Telephone Number : 818-726-3421
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MICHAEL ANTHONY CROHN
Credential :
Telephone Number : 818-726-3421
Provider Enumeration Date : 05/12/2011
Last Update Date : 05/12/2011

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Directions to “ACE WHEELCHAIRS ” Practice Location

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