Provider Demographics
NPI:1760515514
Name:AB OXYGEN INC
Entity Type:Organization
Organization Name:AB OXYGEN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:D
Authorized Official - Last Name:DOLESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-834-4425
Mailing Address - Street 1:749 AURORA AVENUE
Mailing Address - Street 2:SUITE #3
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-2627
Mailing Address - Country:US
Mailing Address - Phone:504-834-4425
Mailing Address - Fax:504-833-5718
Practice Address - Street 1:749 AURORA AVENUE
Practice Address - Street 2:SUITE #3
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-2627
Practice Address - Country:US
Practice Address - Phone:504-834-4425
Practice Address - Fax:504-833-5718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332BP3500X
LA332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1661708Medicaid
LAB5161OtherBLUE CROSS BLUE SHIELD LA
LA1661708Medicaid
LA0986090001Medicare ID - Type Unspecified