Organization · Type 2 NPI
Patrick Niebrugge Od
Durable Medical Equipment & Medical Supplies · Casey, IL
NPI number
1962696617
Active
Practice location
1279 E US Hwy 40
Casey, IL 62420-0528
Fax (217) 932-4674
Mailing address
PO Box 528, 1279 E US Hwy 40
Casey, IL 62420-0528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | 0706010001 (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.
Another provider at this address
About NPI 1962696617
Patrick Niebrugge Od's National Provider Identifier is 1962696617, issued on Sep 5, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Casey, IL. The record was last updated on Feb 21, 2008.