MEDICARE: SYL SOLUTION MARKETING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1053840157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYL SOLUTION MARKETING

Provider Business Mailing Address
First Line	:	800 HAZLETT AVE
Second Line	:
City	:	WHEELING
State	:	WV
Zip	:	26003-6933
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 HAZLETT AVE
Second Line	:
City	:	WHEELING
State	:	WV
Zip	:	26003
Country	:	US
Telephone Number	:	304-905-6421
Fax Number	:

Authorized Official
Title or Position	:	CENTER MANAGER
Name	:	JASON PETTRESS
Credential	:
Telephone Number	:	304-905-6421

Provider Enumeration Date	:	06/12/2017
Last Update Date	:	06/12/2017

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