Provider Demographics
NPI:1457654980
Name:TOAD CORPORATION
Entity Type:Organization
Organization Name:TOAD CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KULIFAJ
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:775-851-7842
Mailing Address - Street 1:314 VASSAR ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-2910
Mailing Address - Country:US
Mailing Address - Phone:775-322-2005
Mailing Address - Fax:775-322-2014
Practice Address - Street 1:314 VASSAR ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2910
Practice Address - Country:US
Practice Address - Phone:775-322-2005
Practice Address - Fax:775-322-2014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-05
Last Update Date:2010-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier