Domerlin Sodusta - Omaha, NE

Domerlin Sodusta

Durable Medical Equipment & Medical Supplies in Omaha, Nebraska

NPI 1679978084

Domerlin Sodusta is a Durable Medical Equipment & Medical Supplies based in Omaha, NE. Domerlin Sodusta practices in Omaha, NE. The NPI Number for Domerlin Sodusta is 1679978084 and holds a License No. (Nebraska).

The current practice location address for Domerlin Sodusta is 4905 S 107Th Ave, Omaha, NE and can be reached out via phone at 402-968-1643.

Location: 4905 S 107Th Ave, Omaha, NE, 68127-1965

NPI Number

1679978084

Provider Name

Domerlin Sodusta

Credential

Provider Entity Type

Individual

Gender

Male

Address

4905 S 107Th Ave, Omaha, NE, 68127-1965

Phone Number

402-968-1643

Fax Number

Provider Enumeration Date

10/28/2014

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
10024973200	05	NE

Address

4905 S 107Th Ave

City

Omaha

State

Nebraska

Zip

68127-1965

Phone Number

402-968-1643

Fax Number

Address

4905 S 107Th Ave

City

Omaha

State

Nebraska

Zip

68127-1965

Phone Number

402-968-1643

Fax Number

Type

Suppliers

Classification

Durable Medical Equipment & Medical Supplies

Speciality

Taxonomy

332B00000X

License No.

(Nebraska)

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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