Provider Demographics
NPI:1881818946
Name:ABSOLUTE MOBILITY LLC
Entity Type:Organization
Organization Name:ABSOLUTE MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUTHERFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-566-6886
Mailing Address - Street 1:7 AUTUMN LEAF DR APT 23
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-5558
Mailing Address - Country:US
Mailing Address - Phone:603-566-6886
Mailing Address - Fax:603-521-7326
Practice Address - Street 1:7 AUTUMN LEAF DR APT 23
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-5558
Practice Address - Country:US
Practice Address - Phone:603-566-6886
Practice Address - Fax:603-521-7326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH6019690001Medicare NSC