MEDICARE: RBC ENTERPRISES 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	268492-901325	VA

General Provider Information

NPI Number	:	1396193678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RBC ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	1388 RIVER BROOK CT
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-0639
Country	:	US
Telephone Number	:	434-977-6435
Fax Number	:

Provider Business Practice Location Address
First Line	:	1388 RIVER BROOK CT
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-0639
Country	:	US
Telephone Number	:	434-977-6435
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARK HENSIEN
Credential	:
Telephone Number	:	434-977-6435

Provider Enumeration Date	:	05/27/2016
Last Update Date	:	05/27/2016

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Directions to “RBC ENTERPRISES LLC ” Practice Location

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