Healthcare Provider Details
I. General information
NPI: 1548364623
Provider Name (Legal Business Name): REGAL MEDICAL SERVICES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2006
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
195 OLD COURTHOUSE RD.
APPOMATTOX VA
24522-0195
US
IV. Provider business mailing address
195 OLD COURTHOUSE RD.
APPOMATTOX VA
24522-0195
US
V. Phone/Fax
- Phone: 434-352-2933
- Fax:
- Phone: 434-352-2933
- 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 | |
VIII. Authorized Official
Name:
DAVID
SCHUETTE
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 540-586-9636