Organization · Type 2 NPI
Marvin L. Holloman
Durable Medical Equipment & Medical Supplies · Dyer, IN
NPI number
1164936787
Active
Practice location
425 Joliet St Ste 125
Dyer, IN 46311-1775
Mailing address
21706 Peterson Ave
Sauk Village, IL 60411-4438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | 69000690A (IN) |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
2 other providers at this address
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About NPI 1164936787
Marvin L. Holloman's National Provider Identifier is 1164936787, issued on Nov 17, 2017. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Dyer, IN. The record was last updated on Nov 17, 2017.