Top Form Inc.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Wilmington, NC

NPI 1598750010 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1598750010
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
TOP FORM INC.
Practice address
1731 Dawson St
Wilmington, NC 28403-2326
Phone
(910) 392-5806
Fax
(910) 452-2913
NPI assigned
Sep 12, 2005
Organization subpart
No

Authorized official

Name
Mr. Martin Gallan
Title
Ceo
Phone
(910) 392-5806

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
A2Z Home Medical Supplies Inc (3 organizations share this tax ID)

Locations

1731 Dawson St
Wilmington, NC 28403
Phone (910) 392-5806

Specialties & licenses

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

Addresses

Primary practice location

1731 Dawson St
Wilmington, NC 28403-2326

Mailing address

PO Box 1594
Wilmington, NC 28402-1594
Phone (910) 392-5806

Other identifiers

IdentifierTypeStateIssuer
045X2OtherNCBLUE CROSS AND BLUE SHIEL

Other providers in Wilmington, NC

All providers in Wilmington, NC · Durable Medical Equipment & Medical Supplies in North Carolina

Sources for this page

Verify at the official NPI Registry.