NPI 1043236441
Scooter Store-Green Bay LLC
Practice location
- Address
- 3000 E Enterprise Ave Unit B, Appleton, WI 54913-7769
- Phone
- (920) 997-1769
- Mailing address
- PO Box 310709, New Braunfels, TX 78131-0709
Authorised official
- Name
- Jason Cone
- Title
- General Counsel & Secretary
- Phone
- (830) 627-4433
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1043236441
- Entity type
- Organization
- NPI issued
- 15 Jul 2006
- Record last updated
- 2 Aug 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.