Scooter Store-Green Bay LLC

NPI #1043236441 in Appleton, Wisconsin

Provider Information

NPI Number
1043236441
Entity Type
Organization
Organization Name
Scooter Store-Green Bay LLC
Subpart
Yes (part of a larger organization)
Parent Organization
THE SCOOTER STORE - USA, INC.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jul 15, 2006
Last Updated
Aug 2, 2013

Practice Location

Address
3000 E ENTERPRISE AVE UNIT B
ZIP Code
54913-7769
Phone
(920) 997-1769

Authorized Official

Name
JASON CONE
Title
GENERAL COUNSEL & SECRETARY
Phone
(830) 627-4433

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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