Sally Ross Brown

Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Hugo, MN

NPI 1003002437 · NPPES record last updated Sep 19, 2007

Key facts

NPI
1003002437
Entity type
Individual (NPI type 1)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Practice address
15449C Forest Blvd N
Hugo, MN 55038-7329
Phone
(651) 426-1548
Fax
(651) 653-9444
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

15449C Forest Blvd N
Hugo, MN 55038-7329

Mailing address

15449C Forest Blvd N
Hugo, MN 55038-7329
Phone (651) 426-1548

Other providers in Hugo, MN

All providers in Hugo, MN · Durable Medical Equipment & Medical Supplies in Minnesota

Sources for this page

Verify at the official NPI Registry.