Chesapeake Rehab Equipment Inc., NPI 1689642969
Customized Equipment (DME) in Newark, DE, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1689642969
NPI Entity Type Organization
Provider Name Chesapeake Rehab Equipment Inc.
Subpart of Organization Chesapeake Rehab Equipment Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 227 Lake Drive, Pencader Corporate Center, Newark, DE, US
Provider Mailing Address 2070 Little Hills Expy, Saint Charles, MO, US, 633013708
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Walter Johnson
Official Position CREDENTIALING AND LICENSURE MANAGER
Phone 314-447-7515

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

332BC3200X

Taxonomy Name Customized Equipment (DME)
Classification

Durable Medical Equipment & Medical Supplies

Group

Suppliers

License No. 1997119307
License State DE
Description Definition to come...

Business Address

Chesapeake Rehab Equipment Inc.
227 Lake Drive
Pencader Corporate Center

Newark, DE, US

Phone: 302-266-6234
Fax: 302-266-6232

Mailing Address

Chesapeake Rehab Equipment Inc.
2070 Little Hills Expy
Saint Charles, MO, US
ZIP 633013708
Phone: 314-447-7500

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

171WH0202X

Other Service Providers

Contractor

No

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1689642969 DE MEDICAID 05
0089915 NJ MEDICAID 05
233878504 MD MEDICAID 05
1007514300026 PA MEDICAID 05

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