Provider Demographics
NPI:1376010629
Name:NEW ENGLAND ADAPTIVE EQUIPMENT
Entity type:Organization
Organization Name:NEW ENGLAND ADAPTIVE EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:VIRGINIA
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-269-2816
Mailing Address - Street 1:132 STATION RD
Mailing Address - Street 2:
Mailing Address - City:ETNA
Mailing Address - State:ME
Mailing Address - Zip Code:04434-3034
Mailing Address - Country:US
Mailing Address - Phone:207-269-2816
Mailing Address - Fax:207-269-2816
Practice Address - Street 1:132 STATION RD
Practice Address - Street 2:
Practice Address - City:ETNA
Practice Address - State:ME
Practice Address - Zip Code:04434-3034
Practice Address - Country:US
Practice Address - Phone:207-269-2816
Practice Address - Fax:207-269-2816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies