Provider Demographics
NPI:1770612426
Name:ALL ABOUT YOU MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:ALL ABOUT YOU MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:KUEPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-730-0909
Mailing Address - Street 1:W5546 KUEPPER RD
Mailing Address - Street 2:
Mailing Address - City:MENASHA
Mailing Address - State:WI
Mailing Address - Zip Code:54952-9634
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1045 N LYNNDALE DR
Practice Address - Street 2:STE 1B
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-3048
Practice Address - Country:US
Practice Address - Phone:920-730-0909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI5912310001Medicare NSC