1912527755 NPI number — DIESEL MEDICAL EQUIPMENT LLC

Table of content: MATTHEW KIBITLEWSKI (NPI 1437039161)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912527755 NPI number — DIESEL MEDICAL EQUIPMENT LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DIESEL MEDICAL EQUIPMENT LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912527755
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/13/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2351 W NORTHWEST HWY STE 3135
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75220-4433
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-577-1613
Provider Business Mailing Address Fax Number:
214-259-3709

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2351 W NORTHWEST HWY STE 3135
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75220-4433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-577-1613
Provider Business Practice Location Address Fax Number:
214-259-3709
Provider Enumeration Date:
04/22/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NORTHCUTT
Authorized Official First Name:
TYLER
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
580-461-0983

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 803511516 . This is a "OFFICE OF THE SECRETARY OF STATE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".