Basic Information
Provider Information
NPI: 1336304146
EntityType: 2
ReplacementNPI:  
OrganizationName: UNITED SEATING AND MOBILITY
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 2070 LITTLE HILLS EXPY
Address2:  
City: SAINT CHARLES
State: MO
PostalCode: 633013708
CountryCode: US
TelephoneNumber: 3144477500
FaxNumber: 3144477830
Practice Location
Address1: 12400 KILN CT
Address2:  
City: BELTSVILLE
State: MD
PostalCode: 207051320
CountryCode: US
TelephoneNumber: 8006463431
FaxNumber: 3012103658
Other Information
ProviderEnumerationDate: 07/21/2008
LastUpdateDate: 07/23/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: RUBIN
AuthorizedOfficialFirstName: BILL
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CFO
AuthorizedOfficialTelephone: 3144477512
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/23/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
332B00000XZ12608790MDY SuppliersDurable Medical Equipment & Medical Supplies 

No ID Information.


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