Provider Demographics
NPI:1801374822
Name:VENTILATEOK LLC
Entity Type:Organization
Organization Name:VENTILATEOK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:NATHANIEL
Authorized Official - Last Name:WYLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-604-6999
Mailing Address - Street 1:4401 NW 4TH ST STE 133
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-6540
Mailing Address - Country:US
Mailing Address - Phone:405-922-9020
Mailing Address - Fax:
Practice Address - Street 1:4401 NW 4TH ST STE 133
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-6540
Practice Address - Country:US
Practice Address - Phone:405-922-9020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-01
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies