Provider Demographics
NPI:1235206426
Name:N&S MEDICAL SUPPLY INC.
Entity Type:Organization
Organization Name:N&S MEDICAL SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:636-528-1533
Mailing Address - Street 1:1024 TROJAN DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MO
Mailing Address - Zip Code:63379-3200
Mailing Address - Country:US
Mailing Address - Phone:636-528-1533
Mailing Address - Fax:636-600-5900
Practice Address - Street 1:101 W COLLEGE ST # 5
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MO
Practice Address - Zip Code:63379-1124
Practice Address - Country:US
Practice Address - Phone:636-528-1533
Practice Address - Fax:636-528-5900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO4849160001Medicare ID - Type Unspecified