Provider Demographics
NPI:1760774442
Name:ACE WHEELCHAIRS
Entity Type:Organization
Organization Name:ACE WHEELCHAIRS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CROHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-726-3421
Mailing Address - Street 1:PO BOX 11071
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91510-1071
Mailing Address - Country:US
Mailing Address - Phone:818-726-3421
Mailing Address - Fax:
Practice Address - Street 1:2515 N BUENA VISTA ST
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-2619
Practice Address - Country:US
Practice Address - Phone:818-726-3421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment