National Provider Identifier Database

LIFE GUARD INC
Oxygen Equipment & Supplies


Contact Information

LIFE GUARD INC
CORNER OF BANK & MAIN ST.
PINEVILLE, WV24874
Phone: 304-732-9270
Fax: 304-732-9270
Website:
Specialty Taxonomy Code
* Oxygen Equipment & Supplies 332BX2000X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for LIFE GUARD INC

NPI Number 1720140239
Legal business name
LBN
LIFE GUARD INC
Authorized official MATT SHIVELY - (V.P.)
Entity Organization
Organization subpart No
Enumeration date 12/14/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • License #: NONE REQUIRED
  • WV Medicaid: 6204088000

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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