Provider Demographics
NPI:1851958086
Name:YOUWALK TODAY, INC.
Entity Type:Organization
Organization Name:YOUWALK TODAY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:458-256-9437
Mailing Address - Street 1:1601 GEM DR
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471-8647
Mailing Address - Country:US
Mailing Address - Phone:458-256-9437
Mailing Address - Fax:
Practice Address - Street 1:1601 GEM DR
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471-8647
Practice Address - Country:US
Practice Address - Phone:458-256-9437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
080672156OtherDUNS NUMBER (DUNN & BRADSTREET #)
OR01714886-4OtherOREGON BUSINESS IDENTITY NUMBER
OR1141875-94OtherOREGON BUSINESS REGISTRATION NUMBER
8B6V6OtherFEDERAL CAGE CODE