Provider Demographics
NPI:1639626682
Name:GLOBAL DME
Entity Type:Organization
Organization Name:GLOBAL DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:T
Authorized Official - Last Name:CROWDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:502-776-0231
Mailing Address - Street 1:2021 W JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-1527
Mailing Address - Country:US
Mailing Address - Phone:502-776-0231
Mailing Address - Fax:
Practice Address - Street 1:2021 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-1527
Practice Address - Country:US
Practice Address - Phone:502-776-0231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CROWDER CHIROPRACTIC REHAB
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-07
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY4010332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies