MEDICARE: A PLUS OXYGEN AND DME

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	332BX2000X	Oxygen Equipment & Supplies (DME)	332BX200X	NV

General Provider Information

NPI Number	:	1063671154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLUS OXYGEN AND DME

Provider Business Mailing Address
First Line	:	940 MATLEY LN STE 14
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-2139
Country	:	US
Telephone Number	:	775-329-0101
Fax Number	:	775-329-0109

Provider Business Practice Location Address
First Line	:	940 MATLEY LN STE 14
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-2139
Country	:	US
Telephone Number	:	775-329-0101
Fax Number	:	775-329-0109

Authorized Official
Title or Position	:	OWNER
Name	:	DEREK J MCNEIL
Credential	:
Telephone Number	:	775-329-0101

Provider Enumeration Date	:	06/04/2008
Last Update Date	:	03/23/2009

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