Provider Demographics
NPI:1730323478
Name:MIDWEST MOBILITY SOLUTIONS
Entity Type:Organization
Organization Name:MIDWEST MOBILITY SOLUTIONS
Other - Org Name:MEDICALLY YOURS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:LERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-964-9991
Mailing Address - Street 1:2732 SE DELAWARE AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-9323
Mailing Address - Country:US
Mailing Address - Phone:515-964-9991
Mailing Address - Fax:515-270-0166
Practice Address - Street 1:2732 SE DELAWARE AVE STE 150
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-9323
Practice Address - Country:US
Practice Address - Phone:515-964-9991
Practice Address - Fax:515-270-0166
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIDWEST MOBILITY SOLUTIONS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA6031370001Medicare NSC