Top Form Inc.

LBN: Top Form Inc.
Top Form Inc. is an health care organization with primary practice located at 1731 Dawson St , Wilmington NC 28403-2326. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Top Form Inc. can be contacted via phone (910) 392-5806, or through Gallan, Martin via phone (910) 392-5806.

Contact Information

Primary practice address
1731 Dawson St Wilmington NC 28403-2326
Phone: (910) 392-5806
Fax: (910) 452-2913
Website:
Map and Directions
Authorized official contact:
Name: Gallan, Martin
Phone: (910) 392-5806

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1598750010
LBN Legal business name Top Form Inc.
DBA Doing business as
Authorized official Gallan, Martin
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598750010 NPPES
North Carolina Other 045X2 BLUE CROSS AND BLUE SHIEL

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