MEDICARE: ALT MEDICAL GEAR LLC

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	:	1164316436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALT MEDICAL GEAR LLC

Provider Business Mailing Address
First Line	:	5514 LORI LN W
Second Line	:
City	:	WEST FARGO
State	:	ND
Zip	:	58078-8557
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5514 LORI LN W
Second Line	:
City	:	WEST FARGO
State	:	ND
Zip	:	58078-8557
Country	:	US
Telephone Number	:	218-252-2628
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICHOLAS SCHULZ
Credential	:
Telephone Number	:	218-252-2628

Provider Enumeration Date	:	06/03/2025
Last Update Date	:	06/03/2025

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