Healthcare Provider Details

I. General information

NPI: 1093285330
Provider Name (Legal Business Name): NATIONAL SEATING & MOBILITY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2018
Last Update Date: 06/05/2020
Certification Date: 06/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4431 ANAHEIM AVE NE STE A
ALBUQUERQUE NM
87113-1580
US

IV. Provider business mailing address

5959 SHALLOWFORD RD STE 443
CHATTANOOGA TN
37421-2245
US

V. Phone/Fax

Practice location:
  • Phone: 505-715-4284
  • Fax: 505-355-6991
Mailing address:
  • Phone: 423-756-2268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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