Healthcare Provider Details

I. General information

NPI: 1417305392
Provider Name (Legal Business Name): NATIONAL SEATING & MOBILITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2016
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10341 HERCULES RD
FREELAND MI
48623-8805
US

IV. Provider business mailing address

5959 SHALLOWFORD RD SUITE 443
CHATTANOOGA TN
37421-2285
US

V. Phone/Fax

Practice location:
  • Phone: 989-625-5061
  • Fax: 989-625-5062
Mailing address:
  • Phone: 423-756-2268
  • Fax: 423-266-9690

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: MR. JEFFREY MATUKEWICZ
Title or Position: SECRETARY
Credential:
Phone: 423-756-2268