Light Therapy Products

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIGHT THERAPY PRODUCTS

Practice address

5623 Memorial Ave N
Stillwater, MN 55082-1092

Phone

(651) 351-9800

Fax

(651) 351-9804

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Paul I Hamel

Title

V.P. Sales

Phone

(651) 351-9800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1912193871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 MEMORIAL AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821092",
            "telephone_number": "651-351-9800",
            "fax_number": "651-351-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5623 MEMORIAL AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821092",
            "telephone_number": "651-351-9800",
            "fax_number": "651-351-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT THERAPY PRODUCTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "HAMEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "V.P. SALES",
        "authorized_official_telephone_number": "651-351-9800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.