institution
Tidewater Medical Supply, Inc
Oxygen Equipment & Supplies (DME) in Chesapeake, Virginia
NPI 1104923895

Tidewater Medical Supply, Inc is a Oxygen Equipment & Supplies (DME) based in Chesapeake, VA and is specialized in Oxygen Equipment & Supplies. Tidewater Medical Supply, Inc practices in Chesapeake, VA. The NPI Number for Tidewater Medical Supply, Inc is 1104923895 and holds a License No. 0206009115 (Virginia).

The current practice location address for Tidewater Medical Supply, Inc is 525 Byron St, Chesapeake, VA and can be reached out via phone at 757-548-9999 and via fax at 757-549-7752. You can also correspond with Tidewater Medical Supply, Inc through the mailing address at 525 BYRON ST, CHESAPEAKE, VA - 23320-7967 (mailing address contact number: 757-548-9999).

Location: 525 Byron St, Chesapeake, VA, 23320-7967
institution
Provider Profile Details
NPI Number
1104923895
Provider Name
Tidewater Medical Supply, Inc
Credential
Provider Entity Type
Organization
Address
525 Byron St, Chesapeake, VA, 23320-7967
Phone Number
757-548-9999
Fax Number
757-549-7752
Provider Enumeration Date
09/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1258980001 01 VA MEDICARE PARTICIPATING PROVIDER ID # 1258980001 STATE VA PTAN #
009117920 05 VA
institution
Provider Business Practice Location Address Details
Address
525 Byron St
City
State
Zip
23320-7967
Phone Number
757-548-9999
Fax Number
757-549-7752
person
Provider Business Mailing Address Details
Address
525 Byron St
City
State
Zip
23320-7967
Phone Number
757-548-9999
Fax Number
757-549-7752
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
0206009115 (Virginia)
Definition
Definition to come...
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