MEDICARE: PULMONARY SOLUTIONS 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	332B00000X	Durable Medical Equipment & Medical Supplies	HMEL11117	OH
2	332BX2000X	Oxygen Equipment & Supplies (DME)		OH

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	:	1457319428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PULMONARY SOLUTIONS INC

Provider Business Mailing Address
First Line	:	4372 MULHAUSER RD
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-5462
Country	:	US
Telephone Number	:	513-769-6163
Fax Number	:	513-769-6172

Provider Business Practice Location Address
First Line	:	1468 NORTH HIGH ST
Second Line	:
City	:	HILLSBORO
State	:	OH
Zip	:	45133
Country	:	US
Telephone Number	:	937-393-0991
Fax Number	:	937-393-2063

Authorized Official
Title or Position	:	PRESIDENT OF HOMECARE
Name	:	CHRIS GERARD JORDAN
Credential	:
Telephone Number	:	513-769-6163

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	03/21/2008

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Directions to “PULMONARY SOLUTIONS INC ” Practice Location

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