Provider Demographics
NPI:1205099066
Name:WHEECHAIR AND ACCESSORY SAFETY SYSTEMS
Entity type:Organization
Organization Name:WHEECHAIR AND ACCESSORY SAFETY SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:JOESEPH
Authorized Official - Last Name:ROGNESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-641-0192
Mailing Address - Street 1:12751 COUNTY ROAD 5
Mailing Address - Street 2:SUITE 172
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-2263
Mailing Address - Country:US
Mailing Address - Phone:952-641-0192
Mailing Address - Fax:952-641-0208
Practice Address - Street 1:12751 COUNTY ROAD 5
Practice Address - Street 2:SUITE 172
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-2263
Practice Address - Country:US
Practice Address - Phone:952-641-0192
Practice Address - Fax:952-641-0208
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MN EMERGENCY COMMUNICATIONS TEAM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies