Healthcare Provider Details

I. General information

NPI: 1962769133
Provider Name (Legal Business Name): CPAP INNOVATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2012
Last Update Date: 04/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 FAIRVIEW AVE SUITE B-7
BOWLING GREEN KY
42101-4911
US

IV. Provider business mailing address

830 FAIRVIEW AVENUE SUITE B-7
BOWLING GREEN KY
42101
US

V. Phone/Fax

Practice location:
  • Phone: 270-792-6832
  • Fax: 270-842-5099
Mailing address:
  • Phone: 270-792-6832
  • Fax: 270-842-5099

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 Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. VICKI LEE NELSON
Title or Position: MEMBER
Credential: RRT
Phone: 270-792-6832