Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI # | 1376801084 |
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| LBN Legal business name | COASTAL MED TECH INC | ||||||||
| Authorized official | SHANNON SEVEY - (COMPLIANCE OFFICER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 05/01/2012 | ||||||||
| Last updated | 10/05/2016 - About 10 years ago | ||||||||
| Identifiers |
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