Healthcare Provider Details

I. General information

NPI: 1457455537
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

14600 MONETA RD SUITE 3
MONETA VA
24121-5741
US

IV. Provider business mailing address

14600 MONETA RD SUITE 3
MONETA VA
24121-5741
US

V. Phone/Fax

Practice location:
  • Phone: 540-586-9636
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable 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