MEDICARE: NATIONAL SEATING & MOBILITY INC

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	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies	100961	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194799635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL SEATING & MOBILITY INC

Provider Business Mailing Address
First Line	:	5959 SHALLOWFORD RD
Second Line	:	STE 443
City	:	CHATTANOOGA
State	:	TN
Zip	:	37241-2245
Country	:	US
Telephone Number	:	423-756-2268
Fax Number	:	423-266-9690

Provider Business Practice Location Address
First Line	:	4515 S B ST
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95206-3956
Country	:	US
Telephone Number	:	209-954-9311
Fax Number	:	209-954-9536

Authorized Official
Title or Position	:	SECRETARY
Name	:	JEFFREY MATUKEWICZ
Credential	:
Telephone Number	:	423-756-2268

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	08/08/2022

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