Healthcare Provider Details
I. General information
NPI: 1558334474
Provider Name (Legal Business Name): NATIONAL SEATING & MOBILITY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/10/2006
Last Update Date: 08/24/2021
Certification Date: 08/24/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
854 LAKESIDE DR STE B
MOBILE AL
36693-5135
US
IV. Provider business mailing address
5959 SHALLOWFORD RD SUITE 443
CHATTANOOGA TN
37421-2285
US
V. Phone/Fax
- Phone: 251-473-2725
- Fax: 800-319-1214
- Phone: 423-756-2268
- Fax: 423-266-9690
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 516 |
| License Number State | AL |
VIII. Authorized Official
Name:
JEFFREY
MATUKEWICZ
Title or Position: CORPORATE SECRETARY
Credential:
Phone: 423-756-2268