Healthcare Provider Details

I. General information

NPI: 1669055109
Provider Name (Legal Business Name): STEP ONE MEDICAL SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8180 TANEY PL
MERRILLVILLE IN
46410-5968
US

IV. Provider business mailing address

8180 TANEY PL
MERRILLVILLE IN
46410-5968
US

V. Phone/Fax

Practice location:
  • Phone: 219-525-4624
  • Fax: 219-756-1901
Mailing address:
  • Phone: 219-525-4624
  • Fax: 219-756-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code224L00000X
TaxonomyPedorthist
License Number
License Number StateNULL

VIII. Authorized Official

Name: OLIVER SUTTER
Title or Position: MANAGER
Credential:
Phone: 219-381-1433