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Marvin L. Holloman
Durable Medical Equipment & Medical Supplies in Dyer, Indiana
NPI 1164936787

Marvin L. Holloman is a Durable Medical Equipment & Medical Supplies based in Sauk Village, IN. Marvin L. Holloman practices in Dyer, IN. The NPI Number for Marvin L. Holloman is 1164936787 and holds a License No. 69000690A (Indiana).

The current practice location address for Marvin L. Holloman is 425 Joliet St Ste 125, Dyer, IN and can be reached out via phone at 708-625-5681.

Location: 425 Joliet St Ste 125, Dyer, IN, 60411-4438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164936787
Provider Name
Marvin L. Holloman
Credential
Provider Entity Type
Organization
Address
425 Joliet St Ste 125, Dyer, IN, 60411-4438
Phone Number
708-625-5681
Fax Number
Provider Enumeration Date
11/17/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
69000690A 05 IN
institution
Provider Business Practice Location Address Details
Address
425 Joliet St Ste 125
City
Dyer
State
Indiana
Zip
46311-1775
Phone Number
708-625-5681
Fax Number
person
Provider Business Mailing Address Details
Address
425 Joliet St Ste 125
City
Dyer
State
Indiana
Zip
46311-1775
Phone Number
708-625-5681
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
69000690A (Indiana)
Definition
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.
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