Provider Demographics
NPI:1215557137
Name:MP SUPPORTS LLC
Entity Type:Organization
Organization Name:MP SUPPORTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK SCHNEIDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-536-3260
Mailing Address - Street 1:1178 FREMONT CT STE 1F
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46516-9321
Mailing Address - Country:US
Mailing Address - Phone:219-992-0648
Mailing Address - Fax:574-293-7004
Practice Address - Street 1:1178 FREMONT CT STE 1F
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46516-9321
Practice Address - Country:US
Practice Address - Phone:219-992-0648
Practice Address - Fax:574-293-7004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-21
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment