Provider Demographics
NPI:1831488212
Name:SAFE STEP TUBS OF MN
Entity Type:Organization
Organization Name:SAFE STEP TUBS OF MN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:DAUFFENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-581-3517
Mailing Address - Street 1:218 N RIVER RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-1612
Mailing Address - Country:US
Mailing Address - Phone:800-581-3517
Mailing Address - Fax:952-681-7721
Practice Address - Street 1:218 N RIVER RIDGE CIR
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-1612
Practice Address - Country:US
Practice Address - Phone:800-581-3517
Practice Address - Fax:952-681-7721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment