Provider Demographics
NPI:1013384627
Name:BREATHE EASY MEDICAL SUPPLIES INC.
Entity Type:Organization
Organization Name:BREATHE EASY MEDICAL SUPPLIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:AE
Authorized Official - Last Name:BOUAPAENGPHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-722-7587
Mailing Address - Street 1:40 16TH ST. SW SUITE G
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904
Mailing Address - Country:US
Mailing Address - Phone:855-461-3279
Mailing Address - Fax:855-568-7587
Practice Address - Street 1:40 16TH ST. SW SUITE G
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904
Practice Address - Country:US
Practice Address - Phone:855-568-7587
Practice Address - Fax:855-461-3279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies