Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI # | 1184933384 |
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| LBN Legal business name | JOHN D. WHITEHEAD | ||||||||
| Authorized official | JOHN WHITEHEAD - (OWNER/MANAGER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/05/2010 | ||||||||
| Last updated | 05/07/2013 - About 13 years ago | ||||||||
| Identifiers |
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