Provider Demographics
NPI:1891283909
Name:EZ STOP WHEELCHAIR BRAKE SYSTEMS, LLC
Entity Type:Organization
Organization Name:EZ STOP WHEELCHAIR BRAKE SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZELLERS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:570-350-4848
Mailing Address - Street 1:1500 HAMILTON ST APT 3W
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-4263
Mailing Address - Country:US
Mailing Address - Phone:570-350-4848
Mailing Address - Fax:
Practice Address - Street 1:1500 HAMILTON ST APT 3W
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-4263
Practice Address - Country:US
Practice Address - Phone:570-350-4848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies