Provider Demographics
NPI:1356654263
Name:DOCTORS OXYGEN SERVICE, INC.
Entity Type:Organization
Organization Name:DOCTORS OXYGEN SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAHLA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:BERCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-558-3834
Mailing Address - Street 1:9760 S 60TH ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-8644
Mailing Address - Country:US
Mailing Address - Phone:800-558-3834
Mailing Address - Fax:414-421-7055
Practice Address - Street 1:9760 S 60TH ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-8644
Practice Address - Country:US
Practice Address - Phone:800-558-3834
Practice Address - Fax:414-421-7055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI456-0000527720-03332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies