National Provider Identifier Database

BRAZOS MEDICAL SUPPLY LLC
Oxygen Equipment & Supplies


Contact Information

BRAZOS MEDICAL SUPPLY, LLC
2005 OLD GREENBRIER RD
SUITE #106
CHESAPEAKE, VA23320-2649
Phone: 757-675-6400
Fax:
Website:
Specialty Taxonomy Code
* Oxygen Equipment & Supplies 332BX2000X

* Indicates primary specialty

NPI Profile & details for BRAZOS MEDICAL SUPPLY, LLC

NPI Number 1497097612
Legal business name
LBN
BRAZOS MEDICAL SUPPLY, LLC
Authorized official KEVIN CRUM - (VICE PRESIDENT/COO)
Entity Organization
Organization subpart No
Enumeration date 03/26/2013
Last updated 03/26/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: S4451904

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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