Organization · Type 2 NPI

Proficio Ancillary Service Provider, LLC

Durable Medical Equipment & Medical Supplies · Edina, MN

NPI number 1366139768 Active

Practice location

4445 W 77th St Ste 208
Edina, MN 55435-5190

Call (952) 562-2900 Map

Fax (248) 487-9442

Mailing address

7455 France Ave S Ste 373
Edina, MN 55435-4702

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed
Transportation Broker 347E00000XNone listed

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.

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About NPI 1366139768

Proficio Ancillary Service Provider, LLC's National Provider Identifier is 1366139768, issued on Apr 18, 2023. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Edina, MN. The record was last updated on Apr 18, 2023.