Provider Demographics
NPI:1457505752
Name:IMPLANT FUNDING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:IMPLANT FUNDING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-486-4021
Mailing Address - Street 1:60 W TERRA COTTA AVE STE B
Mailing Address - Street 2:#260
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-3548
Mailing Address - Country:US
Mailing Address - Phone:866-483-4021
Mailing Address - Fax:
Practice Address - Street 1:60 W TERRA COTTA AVE STE B
Practice Address - Street 2:#260
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-3548
Practice Address - Country:US
Practice Address - Phone:866-483-4021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies