Provider Demographics
NPI:1669704144
Name:ARCH COMFORT, INC.
Entity type:Organization
Organization Name:ARCH COMFORT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:DAVIDOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:570-763-0044
Mailing Address - Street 1:355 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-5430
Mailing Address - Country:US
Mailing Address - Phone:570-763-0044
Mailing Address - Fax:570-763-0018
Practice Address - Street 1:355 MARKET ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-5430
Practice Address - Country:US
Practice Address - Phone:570-763-0044
Practice Address - Fax:570-763-0018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier