Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI # | 1992063440 |
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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 | 05/02/2012 | ||||
| Last updated | 01/10/2017 - About 9 years ago | ||||
| Identifiers |
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