=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841622131
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MEDPLUS HEALTH SOLUTIONS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/08/2013
-----------------------------------------------------
Last Update Date | 11/08/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2637 E ATLANTIC BLVD #27383
-----------------------------------------------------
City | POMPANO BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33062-4939
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-803-0201
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2637 E ATLANTIC BLVD #27383
-----------------------------------------------------
City | POMPANO BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33062-4939
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-803-0201
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | PETE STEPHENS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 888-803-0201
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------