Healthcare Provider Details

I. General information

NPI: 1972521854
Provider Name (Legal Business Name): TWO MP INVESTMENTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 08/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7411 ALBAN STATION CT SUITE A100
SPRINGFIELD VA
22150-2333
US

IV. Provider business mailing address

26895 ALISO CREEK RD SUITE B596
ALISO VIEJO CA
92656-5301
US

V. Phone/Fax

Practice location:
  • Phone: 703-440-3600
  • Fax: 703-440-0941
Mailing address:
  • Phone: 703-440-3600
  • Fax: 703-440-0941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0206008369
License Number StateVA

VIII. Authorized Official

Name: MR. MICHAEL LOUIS PETERS
Title or Position: PRESIDENT
Credential:
Phone: 703-440-3600