Provider Demographics
NPI:1578852547
Name:DAVE'S CPAP SOLUTIONS
Entity Type:Organization
Organization Name:DAVE'S CPAP SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ RESPIRATORY THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BICKERT
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:928-830-5699
Mailing Address - Street 1:PO BOX 27503
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86312-7503
Mailing Address - Country:US
Mailing Address - Phone:928-830-5699
Mailing Address - Fax:928-775-3946
Practice Address - Street 1:6719 E 2ND ST
Practice Address - Street 2:SUITE B
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-2661
Practice Address - Country:US
Practice Address - Phone:928-830-5699
Practice Address - Fax:928-775-3946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11-00010799251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health