Provider Demographics
NPI:1548562218
Name:SIGNATURE EMERGENCY PRODUCTS
Entity Type:Organization
Organization Name:SIGNATURE EMERGENCY PRODUCTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MISCHICO
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-485-5267
Mailing Address - Street 1:1628 HUDDELL AVE
Mailing Address - Street 2:
Mailing Address - City:BOOTHWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19061-4223
Mailing Address - Country:US
Mailing Address - Phone:610-485-5267
Mailing Address - Fax:610-485-8990
Practice Address - Street 1:1628 HUDDELL AVE
Practice Address - Street 2:
Practice Address - City:BOOTHWYN
Practice Address - State:PA
Practice Address - Zip Code:19061-4223
Practice Address - Country:US
Practice Address - Phone:610-485-5267
Practice Address - Fax:610-485-8990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies