Provider Demographics
NPI:1225081128
Name:CHAIRMAN CORPORATION
Entity Type:Organization
Organization Name:CHAIRMAN CORPORATION
Other - Org Name:CHAIRMAN MEDICAL SUPPLIES & EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BASSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:EKANEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-447-7584
Mailing Address - Street 1:9502 RICHMOND HWY
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-2124
Mailing Address - Country:US
Mailing Address - Phone:703-447-7584
Mailing Address - Fax:703-450-0284
Practice Address - Street 1:9502 RICHMOND HWY
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-2124
Practice Address - Country:US
Practice Address - Phone:703-447-7584
Practice Address - Fax:703-450-0284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies