Provider Demographics
NPI:1841470549
Name:MIDWEST MOBILITY SOLUTIONS INC.
Entity type:Organization
Organization Name:MIDWEST MOBILITY SOLUTIONS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:LERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-270-0725
Mailing Address - Street 1:2212 INGERSOLL AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50312-5230
Mailing Address - Country:US
Mailing Address - Phone:515-270-0725
Mailing Address - Fax:515-270-0166
Practice Address - Street 1:2212 INGERSOLL AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50312-5230
Practice Address - Country:US
Practice Address - Phone:515-270-0725
Practice Address - Fax:515-270-0166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA6031370001Medicare NSC