Emerald Drywall LTD,

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

EMERALD DRYWALL LTD,

Practice address

104 Detroit St
Bellefontaine, OH 43311-1408

Phone

(937) 593-8778

Fax

(937) 593-9778

NPI assigned

Jan 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eddie C. Scipio

Title

Member

Phone

(937) 593-8778

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1760668370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N DETROIT ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111408",
            "telephone_number": "937-593-8778",
            "fax_number": "937-593-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DETROIT ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111408",
            "telephone_number": "937-593-8778",
            "fax_number": "937-593-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD DRYWALL LTD,",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "SCIPIO",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "937-593-8778",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.