Healthcare Provider Details

I. General information

NPI: 1679973275
Provider Name (Legal Business Name): ZIPPY MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2014
Last Update Date: 10/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N GREEN RIVER RD STE. 54
EVANSVILLE IN
47715-2471
US

IV. Provider business mailing address

2800 E MORGAN AVE
EVANSVILLE IN
47711-4424
US

V. Phone/Fax

Practice location:
  • Phone: 812-550-1339
  • Fax: 812-550-1340
Mailing address:
  • Phone: 812-550-1339
  • Fax: 812-550-1340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ALEAH STOUGH
Title or Position: BUSINESS MANAGER
Credential:
Phone: 812-499-7610