Provider Demographics
NPI:1841598216
Name:GREEN FROG EQUIPMENT, LLC
Entity Type:Organization
Organization Name:GREEN FROG EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANMEET
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SAHOTA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-781-0154
Mailing Address - Street 1:2150 QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-7229
Mailing Address - Country:US
Mailing Address - Phone:718-781-0154
Mailing Address - Fax:
Practice Address - Street 1:2150 QUARRY RD
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-7229
Practice Address - Country:US
Practice Address - Phone:718-781-0154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies