Provider Demographics
NPI:1396976122
Name:RICHARD'S WHEEL CHAIR REPAIR SER
Entity type:Organization
Organization Name:RICHARD'S WHEEL CHAIR REPAIR SER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHETTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-865-2150
Mailing Address - Street 1:501 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GATESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76528-1316
Mailing Address - Country:US
Mailing Address - Phone:254-865-2150
Mailing Address - Fax:254-865-2151
Practice Address - Street 1:501 E MAIN ST
Practice Address - Street 2:
Practice Address - City:GATESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76528-1316
Practice Address - Country:US
Practice Address - Phone:254-865-2150
Practice Address - Fax:254-865-2151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies