Healthcare Provider Details
I. General information
NPI: 1710128095
Provider Name (Legal Business Name): ATLAS RESPIRATORY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/16/2009
Last Update Date: 04/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
950 CALCON HOOK RD SUITE 15
SHARON HILL PA
19079-1014
US
IV. Provider business mailing address
950 CALCON HOOK RD SUITE 15
SHARON HILL PA
19079-1014
US
V. Phone/Fax
- Phone: 610-586-2340
- Fax:
- Phone: 610-586-2340
- 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 | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JENNIFER
HOEFNER
Title or Position: VP
Credential:
Phone: 610-586-2340