Healthcare Provider Details

I. General information

NPI: 1710721998
Provider Name (Legal Business Name): EQUIPWAY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2024
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 M ST
MERCED CA
95348-2735
US

IV. Provider business mailing address

3315 M ST
MERCED CA
95348-2735
US

V. Phone/Fax

Practice location:
  • Phone: 209-384-1400
  • Fax:
Mailing address:
  • Phone: 209-384-1400
  • Fax: 209-384-1441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JASMIT SINGH
Title or Position: CEO
Credential:
Phone: 209-384-1400