Provider Demographics
NPI:1508277138
Name:BB MEDICAL SUPPLY & EQUIPMENT SERVICES INC
Entity Type:Organization
Organization Name:BB MEDICAL SUPPLY & EQUIPMENT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:JEMIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-752-0539
Mailing Address - Street 1:7061 BROOKFIELD PLZ
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-2915
Mailing Address - Country:US
Mailing Address - Phone:703-752-0539
Mailing Address - Fax:703-752-0540
Practice Address - Street 1:7061 BROOKFIELD PLZ
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-2915
Practice Address - Country:US
Practice Address - Phone:703-752-0539
Practice Address - Fax:703-752-0540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1356015332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition