Provider Demographics
NPI:1023241122
Name:HANDICAPPED DRIVING SYSTEMS,INC.
Entity type:Organization
Organization Name:HANDICAPPED DRIVING SYSTEMS,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-435-8889
Mailing Address - Street 1:16290 KENRICK LOOP
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-8495
Mailing Address - Country:US
Mailing Address - Phone:952-435-8889
Mailing Address - Fax:952-435-0057
Practice Address - Street 1:16290 KENRICK LOOP
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-8495
Practice Address - Country:US
Practice Address - Phone:952-435-8889
Practice Address - Fax:952-435-0057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment