Provider Demographics
NPI:1821645169
Name:EPERTURE LLC
Entity Type:Organization
Organization Name:EPERTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MULLHOLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-880-2712
Mailing Address - Street 1:643 E 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5506
Mailing Address - Country:US
Mailing Address - Phone:812-552-6601
Mailing Address - Fax:
Practice Address - Street 1:4070 25TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-3161
Practice Address - Country:US
Practice Address - Phone:812-552-6601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-21
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment