Provider Demographics
NPI:1184870743
Name:MAGIC WHEELS INC.
Entity type:Organization
Organization Name:MAGIC WHEELS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BAECHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-624-4294
Mailing Address - Street 1:3837 13TH AVE W
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-1354
Mailing Address - Country:US
Mailing Address - Phone:206-282-0760
Mailing Address - Fax:206-282-0765
Practice Address - Street 1:3837 13TH AVE W
Practice Address - Street 2:SUITE 104
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-1354
Practice Address - Country:US
Practice Address - Phone:206-282-0760
Practice Address - Fax:206-282-0765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
V797P-3144MOtherVETERANS ADMINISTRATION FEDERAL SUPPLY SERVICES CONTRACT