MEDICARE: PARADAPT EQUPIMENT SERVICES 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1982621470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARADAPT EQUPIMENT SERVICES INC

Provider Business Mailing Address
First Line	:	1927 E PEMBROKE AVE
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23663-1325
Country	:	US
Telephone Number	:	757-722-7700
Fax Number	:	757-722-7926

Provider Business Practice Location Address
First Line	:	1927 E PEMBROKE AVE
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23663-1325
Country	:	US
Telephone Number	:	757-722-7700
Fax Number	:	757-722-7926

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MR. KEVIN K SAUER
Credential	:
Telephone Number	:	757-722-7700

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	08/22/2020

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