Provider Demographics
NPI:1326222035
Name:WHEELCHAIR PROFESSIONALS LLC
Entity Type:Organization
Organization Name:WHEELCHAIR PROFESSIONALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:GOUY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-227-3400
Mailing Address - Street 1:514 EARTH CITY PLAZA
Mailing Address - Street 2:STE 100
Mailing Address - City:EARTH CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63045
Mailing Address - Country:US
Mailing Address - Phone:314-227-3400
Mailing Address - Fax:314-227-3398
Practice Address - Street 1:514 EARTH CITY PLAZA
Practice Address - Street 2:STE 100
Practice Address - City:EARTH CITY
Practice Address - State:MO
Practice Address - Zip Code:63045
Practice Address - Country:US
Practice Address - Phone:314-227-3400
Practice Address - Fax:314-227-3398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies