Provider Demographics
NPI:1992013247
Name:PREVENTIVE PLUS INC
Entity Type:Organization
Organization Name:PREVENTIVE PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEILER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-296-6396
Mailing Address - Street 1:PO BOX 665
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:MO
Mailing Address - Zip Code:63052-0665
Mailing Address - Country:US
Mailing Address - Phone:636-464-4968
Mailing Address - Fax:636-464-0880
Practice Address - Street 1:6029 W OUTER RD
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:MO
Practice Address - Zip Code:63052-2203
Practice Address - Country:US
Practice Address - Phone:636-464-4968
Practice Address - Fax:636-464-0880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO15894622332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies