Provider Demographics
NPI:1003496803
Name:BEARS DEN CO
Entity Type:Organization
Organization Name:BEARS DEN CO
Other - Org Name:MOBILITY MATTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-304-8989
Mailing Address - Street 1:PO BOX 51121
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37950-1121
Mailing Address - Country:US
Mailing Address - Phone:865-964-3096
Mailing Address - Fax:865-238-2959
Practice Address - Street 1:102 ELLINGTON DR
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-6116
Practice Address - Country:US
Practice Address - Phone:865-304-8989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies