Scooter Store - Springfield LLC
NPI #1154344026 in Springfield, Illinois
Provider Information
- NPI Number
- 1154344026
- Entity Type
- Organization
- Organization Name
- Scooter Store - Springfield 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 25, 2006
- Last Updated
- Aug 9, 2013
Practice Location
- Address
- 2122 N GRAND AVE E
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-4235
- Phone
- (217) 789-3904
Authorized Official
- Name
- JASON CONE
- Title
- GENERAL COUNSEL & SECRETARY
- Phone
- (830) 627-4433
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