Provider Demographics
NPI:1891773917
Name:FREUDENBERG MEDICAL LLC
Entity Type:Organization
Organization Name:FREUDENBERG MEDICAL LLC
Other - Org Name:INHEALTH TECHNOLOGIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT/GM INHEALTH TECHNOLO
Authorized Official - Prefix:MR
Authorized Official - First Name:CONSTANTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVLANTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-576-5473
Mailing Address - Street 1:1110 MARK AVENUE
Mailing Address - Street 2:
Mailing Address - City:CARPINTERIA
Mailing Address - State:CA
Mailing Address - Zip Code:93013
Mailing Address - Country:US
Mailing Address - Phone:800-477-5969
Mailing Address - Fax:888-371-1530
Practice Address - Street 1:1110 MARK AVENUE
Practice Address - Street 2:
Practice Address - City:CARPINTERIA
Practice Address - State:CA
Practice Address - Zip Code:93013
Practice Address - Country:US
Practice Address - Phone:800-477-5969
Practice Address - Fax:888-371-1530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5799200001Medicare NSC