Healthcare Provider Details
I. General information
NPI: 1689078701
Provider Name (Legal Business Name): NATIONAL SEATING & MOBILITY, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/17/2014
Last Update Date: 01/18/2023
Certification Date: 01/18/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1087 N MERIDIAN RD
YOUNGSTOWN OH
44509-1016
US
IV. Provider business mailing address
5959 SHALLOWFORD RD STE 443
CHATTANOOGA TN
37421-2245
US
V. Phone/Fax
- Phone: 844-887-4845
- Fax: 844-259-2138
- Phone: 423-756-2268
- Fax: 423-266-9690
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFFREY
MATUKEWICZ
Title or Position: SECRETARY
Credential:
Phone: 423-756-2268