Provider Demographics
NPI:1275520140
Name:CHAIR & EQUIPMENT RENTALS AND SALES
Entity Type:Organization
Organization Name:CHAIR & EQUIPMENT RENTALS AND SALES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:DOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-333-8431
Mailing Address - Street 1:800 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2026
Mailing Address - Country:US
Mailing Address - Phone:704-333-8431
Mailing Address - Fax:704-333-5506
Practice Address - Street 1:800 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2026
Practice Address - Country:US
Practice Address - Phone:704-333-8431
Practice Address - Fax:704-333-5506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC73332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
32 CHAIR & EQUPIMENTOtherGENTIVA CARECENTRIX
CHAIR & EQUIPMENTOtherPROCURA
NC7701460Medicaid
CHAIR & EQUIPMENTOtherPROGRESSIVE
18538OtherPARTNERS MEDICARE
046AKOtherBLUE CROSS BLUE SHIELD
CHAIR & EQUIPMENTOtherMSC MEDICAL SERVICES COMP
SCDME857Medicaid
046AKOtherBLUE CROSS BLUE SHIELD