Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EAGLE DANCER INC
Active OrganizationEAGLE DANCER INC is a Customized Equipment (DME) organization located in BLOOMINGTON, Indiana. NPI 1700051711 is currently active in the NPPES registry. Verify at CMS.
Customized Equipment (DME) · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1700051711
- Provider Type
- Organization
- NPI Issued
- Apr 30, 2008 (18.303717835658 yrs)
- Last Updated
- Nov 23, 2009
- License
-
280-B (IN)
Practice Information
- Address
-
414 S COLLEGE AVEBLOOMINGTON, IN, 474031513Browse IN providers · Browse ZIP 47403
- Phone
- 8123311962
- Fax
- 8123321949
- Primary Specialty
-
Customized Equipment (DME)
332BC3200X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.