Provider Demographics
NPI:1639668791
Name:AIRWAY BREATHING CO
Entity Type:Organization
Organization Name:AIRWAY BREATHING CO
Other - Org Name:ABC HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-826-2600
Mailing Address - Street 1:28 RESEARCH DR STE A
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-1364
Mailing Address - Country:US
Mailing Address - Phone:757-826-2600
Mailing Address - Fax:757-826-9269
Practice Address - Street 1:1117 OLD COLONY LN STE B
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-3801
Practice Address - Country:US
Practice Address - Phone:757-826-2600
Practice Address - Fax:757-826-9269
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AIRWAY BREATHING CO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-04
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0206009655332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies