Healthcare Provider Details
I. General information
NPI: 1689924110
Provider Name (Legal Business Name): CPAP WORKS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/12/2012
Last Update Date: 09/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1913 W XENIA ST
BROKEN ARROW OK
74012-0223
US
IV. Provider business mailing address
1913 W XENIA ST
BROKEN ARROW OK
74012-0223
US
V. Phone/Fax
- Phone: 918-284-2512
- Fax:
- Phone: 918-284-2512
- Fax:
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 | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: MR.
RONALD
E.
MURRAY
Title or Position: OWNER
Credential: BS, RRT-NPS
Phone: 918-284-2512