Provider Demographics
NPI:1881862621
Name:INTEGRITY POWER MOBILITY, LLC
Entity Type:Organization
Organization Name:INTEGRITY POWER MOBILITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:EBNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-772-5923
Mailing Address - Street 1:3060 S RANGE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NORTH JUDSON
Mailing Address - State:IN
Mailing Address - Zip Code:46366-8504
Mailing Address - Country:US
Mailing Address - Phone:574-772-5965
Mailing Address - Fax:888-544-0207
Practice Address - Street 1:3060 S RANGE RD
Practice Address - Street 2:SUITE A
Practice Address - City:NORTH JUDSON
Practice Address - State:IN
Practice Address - Zip Code:46366-8504
Practice Address - Country:US
Practice Address - Phone:574-772-5965
Practice Address - Fax:888-544-0207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN6358460001Medicare NSC