Organization · Type 2 NPI
Tri State Medical Supply
Oxygen Equipment & Supplies (DME) · Wauseon, OH
NPI number
1679570105
Active
Practice location
732 S Shoop Ave
Wauseon, OH 43567-1707
Fax (419) 337-5392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oxygen Equipment & Supplies (DME) Primary | 332BX2000X | 02-0873800 (OH) |
Oxygen Equipment & Supplies (DME): Definition to come...
About NPI 1679570105
Tri State Medical Supply's National Provider Identifier is 1679570105, issued on Jun 30, 2005. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Wauseon, OH. The record was last updated on Aug 11, 2016.