Healthcare Provider Details

I. General information

NPI: 1336631753
Provider Name (Legal Business Name): NWI MOBILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2018
Last Update Date: 01/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1454 E. 86TH PLACE
MERRILLVILLE IN
46410
US

IV. Provider business mailing address

1454 E. 86TH PLACE
MERRILLVILLE IN
46410
US

V. Phone/Fax

Practice location:
  • Phone: 219-750-1905
  • Fax: 219-750-2142
Mailing address:
  • Phone: 219-750-1905
  • Fax: 219-750-2142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: JEFF SCHREIBER
Title or Position: PRESIDENT
Credential:
Phone: 219-750-1905