Healthcare Provider Details
I. General information
NPI: 1912034356
Provider Name (Legal Business Name): WEBB MEDICAL SYSTEMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/27/2007
Last Update Date: 04/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1540 MAIN ST
NORTHAMPTON PA
18067-1618
US
IV. Provider business mailing address
1540 MAIN ST
NORTHAMPTON PA
18067-1618
US
V. Phone/Fax
- Phone: 610-440-0265
- Fax: 610-440-1978
- Phone: 610-440-0265
- Fax: 610-440-1978
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 | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CINDY
LIZAK
Title or Position: DIRECTOR OF REIMBURSEMENT
Credential:
Phone: 610-440-0265