1659993053 NPI number — ALLSHOUSE DURABLE MEDICAL SUPPLIES

Table of content: ELIZABETH MA YU MD (NPI 1699896688)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659993053 NPI number — ALLSHOUSE DURABLE MEDICAL SUPPLIES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLSHOUSE DURABLE MEDICAL SUPPLIES
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:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659993053
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10225 ULMERTON RD STE 10C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LARGO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33771-3526
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10225 ULMERTON RD STE 10C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LARGO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33771-3526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-253-2711
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/08/2020

Additional Information

Authorized Official

Authorized Official Last Name:
ALLSHOUSE
Authorized Official First Name:
CONNER
Authorized Official Middle Name:
N
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
727-253-2711

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)





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