Provider Demographics
NPI:1790973816
Name:OVREN MOBILITY PRODUCTS
Entity Type:Organization
Organization Name:OVREN MOBILITY PRODUCTS
Other - Org Name:OVREN MOBILITY PRODUCTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:NERVO
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:330-825-7296
Mailing Address - Street 1:3020 SHELLHART RD
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-6371
Mailing Address - Country:US
Mailing Address - Phone:330-825-7296
Mailing Address - Fax:
Practice Address - Street 1:3020 SHELLHART RD
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:OH
Practice Address - Zip Code:44203-6371
Practice Address - Country:US
Practice Address - Phone:330-825-7296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment