Provider Demographics
NPI:1497701833
Name:01 A LL-STATES MEDICAL SUPPLY, INC
Entity Type:Organization
Organization Name:01 A LL-STATES MEDICAL SUPPLY, INC
Other - Org Name:ALL-STATES MEDICAL SUPPLY, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:A
Authorized Official - Last Name:SUESS
Authorized Official - Suffix:
Authorized Official - Credentials:LPED
Authorized Official - Phone:828-651-8055
Mailing Address - Street 1:221 OLD HENDERSONVILLE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-9679
Mailing Address - Country:US
Mailing Address - Phone:828-651-8055
Mailing Address - Fax:828-651-8297
Practice Address - Street 1:221 OLD HENDERSONVILLE RD
Practice Address - Street 2:SUITE A
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-9679
Practice Address - Country:US
Practice Address - Phone:828-651-8055
Practice Address - Fax:828-651-8297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1304580001Medicare NSC