Provider Demographics
NPI:1295787398
Name:NEB MEDICAL SERVICES, INC
Entity type:Organization
Organization Name:NEB MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERV
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-258-9504
Mailing Address - Street 1:237 S CURTIS RD
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53214-1030
Mailing Address - Country:US
Mailing Address - Phone:414-258-9504
Mailing Address - Fax:
Practice Address - Street 1:237 S CURTIS RD
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53214-1030
Practice Address - Country:US
Practice Address - Phone:414-258-9504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41746800Medicaid
WI41746800Medicaid