IN-HOME OXYGEN & DME, LLC; NPI #1275516882

Contact Information

IN-HOME OXYGEN & DME, LLC

15 GUINDON BLVD
FOND DU LAC, WI 54935-5840

Phone: 920-923-5377
Fax: 920-923-4396
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier

Indicates primary specialty

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NPI Profile & details for IN-HOME OXYGEN & DME, LLC

NPI Number 1275516882

LBN Legal business name IN-HOME OXYGEN & DME, LLC

Authorized official RAELLA SCHMIDT - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/29/2005

Last updated 08/22/2020 - About 6 years ago

Identifiers

WI	License #	004-0000870906-01
WI	Medicaid	41749400

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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