Provider Demographics
NPI:1750456927
Name:GETTYSBURG MEDICAL SUPPLY
Entity Type:Organization
Organization Name:GETTYSBURG MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ESCHENBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-337-1440
Mailing Address - Street 1:18 CARLISLE ST SUITE 106
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-1823
Mailing Address - Country:US
Mailing Address - Phone:717-337-1440
Mailing Address - Fax:717-337-3708
Practice Address - Street 1:18 CARLISLE ST SUITE 106
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-1823
Practice Address - Country:US
Practice Address - Phone:717-337-1440
Practice Address - Fax:717-337-3708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012293660001OtherPA ACCESS
PA1012293660001OtherPA ACCESS
=========OtherEIN FEDERAL GOV