Debadon LLC

Key facts

NPI

1629264205

Entity type

Organization (NPI type 2)

Primary specialty

Prosthetic/Orthotic Supplier 335E00000X

License

6000007099 (PA)

Legal business name

DEBADON LLC

Practice address

2711 Edgmont Ave
Brookhaven, PA 19015-3316

Phone

(610) 876-4935

Fax

(610) 876-5940

NPI assigned

Sep 18, 2007

Organization subpart

No

Authorized official

Name

Mr. Donald Bruce Asplen

Title

Owner

Phone

(610) 876-4935

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• Nelson's Surgical Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 19, 2008.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1629264205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 EDGMONT AVE",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190153316",
            "telephone_number": "610-876-4935",
            "fax_number": "610-876-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 EDGMONT AVE",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190153316",
            "telephone_number": "610-876-4935",
            "fax_number": "610-876-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBADON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "ASPLEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-876-4935",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "PA",
            "license": "D00914",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "6000007099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson's Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Brookhaven, PA · Prosthetic/Orthotic Supplier in Pennsylvania