DEGEN-BERGLUND, INC
Medical Equipment Supplier Yellow Pages
La Crosse, Wisconsin
Provider NPI: 1215965611
Organization Information:Organization Name: DEGEN-BERGLUND, INC
Practice Location:
2441 GREEN BAY ST LA CROSSE, WI 54601 US
Tel: 608-775-8571 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2441 GREEN BAY ST LA CROSSE, WI 54601 US
Tel: 608-775-8571 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | ||
Y | 3336H0001X | Suppliers Pharmacy | WI | 8773-042 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0516526 | IA | 05 | |
NCPDP | 5106489 | WI | 01 |
33236300 | WI | 05 | |
DEA | FD0491934 | WI | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin