MEDICARE: VENTILATEOK 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	:	1801374822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VENTILATEOK LLC

Provider Business Mailing Address
First Line	:	4401 NW 4TH ST STE 133
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73107-6540
Country	:	US
Telephone Number	:	405-922-9020
Fax Number	:

Provider Business Practice Location Address
First Line	:	4401 NW 4TH ST STE 133
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73107-6540
Country	:	US
Telephone Number	:	405-922-9020
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MR. AARON NATHANIEL WYLIE
Credential	:
Telephone Number	:	405-604-6999

Provider Enumeration Date	:	08/01/2018
Last Update Date	:	04/03/2020

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Directions to “VENTILATEOK LLC ” Practice Location

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