MEDICARE: THE ELECTRIC SCOOTER COMPANY OF OKLAHOMA

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

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	:	1558355123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ELECTRIC SCOOTER COMPANY OF OKLAHOMA

Provider Business Mailing Address
First Line	:	6601 N MAY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-3401
Country	:	US
Telephone Number	:	405-858-0000
Fax Number	:	405-858-0001

Provider Business Practice Location Address
First Line	:	6601 N MAY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-3401
Country	:	US
Telephone Number	:	405-858-0000
Fax Number	:	405-858-0001

Authorized Official
Title or Position	:	OWNER
Name	:	MR. LANNY G HENDERSON
Credential	:
Telephone Number	:	405-858-0000

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	09/25/2008

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Directions to “THE ELECTRIC SCOOTER COMPANY OF OKLAHOMA ” Practice Location

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