Provider Demographics
NPI:1356404784
Name:MUELLER ELECTRIC INC
Entity type:Organization
Organization Name:MUELLER ELECTRIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-586-3308
Mailing Address - Street 1:324 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DE SOTO
Mailing Address - State:MO
Mailing Address - Zip Code:63020-2106
Mailing Address - Country:US
Mailing Address - Phone:636-586-3308
Mailing Address - Fax:636-586-2092
Practice Address - Street 1:324 S MAIN ST
Practice Address - Street 2:
Practice Address - City:DE SOTO
Practice Address - State:MO
Practice Address - Zip Code:63020-2106
Practice Address - Country:US
Practice Address - Phone:636-586-3308
Practice Address - Fax:636-586-2092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO10512691332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0779400001Medicare ID - Type UnspecifiedDURABLE MEDICAL EQUIPMENT