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WESTLAKE DME LLC NPI 1851994164


NPI Information

NPI: 1851994164
Provider Name: WESTLAKE DME, LLC

Doing Business As: WESTLAKE DME

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1413 LAFAYETTE ST
MICHIGAN CITY, IN
ZIP 46360
Phone: (219) 210-5725
Get Directions

WESTLAKE DME, LLC is a durable medical equipment medical supplies in Michigan City, IN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. WESTLAKE DME, LLC NPI is 1851994164. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Westlake Dme.

The provider's business location address is:

1413 LAFAYETTE ST
MICHIGAN CITY, IN
ZIP 46360-524
Phone: (219) 210-5725
Fax: (219) 369-4203

The provider's authorized official is Antwan Lapree Burks .
The authorized official title is Owner and has the following contact phone number (219) 210-5725.

The enumeration date for this NPI number is 11/18/2020 and was last updated on 2/23/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1224L00000XPedorthistNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11851994164MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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