Provider Demographics
NPI:1750674008
Name:MEDEQUIP SOLUTIONS CORPORATION
Entity Type:Organization
Organization Name:MEDEQUIP SOLUTIONS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAYBACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-839-1329
Mailing Address - Street 1:5423 SHERIDAN DR
Mailing Address - Street 2:#1245
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3609
Mailing Address - Country:US
Mailing Address - Phone:716-839-1329
Mailing Address - Fax:716-839-2160
Practice Address - Street 1:5423 SHERIDAN DR
Practice Address - Street 2:#1245
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-3609
Practice Address - Country:US
Practice Address - Phone:716-839-1329
Practice Address - Fax:716-839-2160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies