Provider Demographics
NPI:1659393213
Name:C PHILIPP MOBILITY FREE EQUIP
Entity Type:Organization
Organization Name:C PHILIPP MOBILITY FREE EQUIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CONSUELO
Authorized Official - Middle Name:O
Authorized Official - Last Name:PHILIPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-227-4949
Mailing Address - Street 1:2479 MURFREESBORO PIKE
Mailing Address - Street 2:SUITE 341
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217
Mailing Address - Country:US
Mailing Address - Phone:615-227-4949
Mailing Address - Fax:615-227-4990
Practice Address - Street 1:1108 GALLATIN RD
Practice Address - Street 2:SUITE 3
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217
Practice Address - Country:US
Practice Address - Phone:615-227-4949
Practice Address - Fax:615-227-4990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000840332B00000X
TN0000002284332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5432420001Medicare ID - Type Unspecified