Provider Demographics
NPI:1790025674
Name:ACCESSIBLE BATH SOLUTIONS LLC
Entity Type:Organization
Organization Name:ACCESSIBLE BATH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:RITCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-636-5450
Mailing Address - Street 1:1156 SILVER BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:MENASHA
Mailing Address - State:WI
Mailing Address - Zip Code:54952-3519
Mailing Address - Country:US
Mailing Address - Phone:920-636-5450
Mailing Address - Fax:
Practice Address - Street 1:1156 SILVER BIRCH DR
Practice Address - Street 2:
Practice Address - City:MENASHA
Practice Address - State:WI
Practice Address - Zip Code:54952-3519
Practice Address - Country:US
Practice Address - Phone:920-636-5450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies