National Provider Identifier Database

DIANE RAULERSONS HOME MEDICAL EQUIPMENT
Oxygen Equipment & Supplies


Contact Information

DIANE RAULERSONS HOME MEDICAL EQUIPMENT
2019 ALICE ST
WAYCROSS, GA31501-6209
Phone: 912-283-4663
Fax: 912-338-0208
Website:
Specialty Taxonomy Code
* Oxygen Equipment & Supplies 332BX2000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Parenteral & Enteral Nutrition 332BP3500X

* Indicates primary specialty

NPI Profile & details for DIANE RAULERSONS HOME MEDICAL EQUIPMENT

NPI Number 1295862332
Legal business name
LBN
DIANE RAULERSONS HOME MEDICAL EQUIPMENT
Authorized official DIANE RAULERSON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/27/2007
Last updated 03/22/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 002687
  • GA Medicaid: 00855357A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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