=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598889131
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOPICAL OXYGEN PROVIDERS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6 DICKINSON DRIVE BLDG. 300
-----------------------------------------------------
City | CHADDS FORD
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19317
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-558-0600
-----------------------------------------------------
Fax | 610-558-5820
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6 DICINSON DRIVE BLDG. 300
-----------------------------------------------------
City | CHADDS FORD
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19317
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-558-0600
-----------------------------------------------------
Fax | 610-558-5820
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COO
-----------------------------------------------------
Name | SEAN GEARY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 610-558-0600
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 6000005338
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------