Eagle Dancer Inc
Eagle Dancer Inc provides Customized Equipment (DME) in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2008.
- Licensed in
- IN
- In the registry since
- 2008
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
414 S College AveBloomington, IN 47403-1513 Not confirmed with CMS for 16 years — call before visiting
Phone: (812) 331-1962
Fax: (812) 332-1949
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X · Licence 280-B (IN) |
|---|
Record details
| NPI number | 1700051711 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raymond Stidd — Provider · (812) 330-0909 |
| NPI enumerated | April 30, 2008 |
| Last updated in NPPES | November 23, 2009 |
| Mailing address | 414 S College Ave, Bloomington, IN 47403-1513 |
Other providers in Bloomington
-
Central Brace & Limb Co , Inc
641 S Walker St, Bloomington, IN 47403-2178 · (812) 334-2524