Provider Demographics
NPI:1063574580
Name:FITE'S MOBILITY INC.
Entity type:Organization
Organization Name:FITE'S MOBILITY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:OVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-686-3483
Mailing Address - Street 1:115 WEST MAIN
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:IN
Mailing Address - Zip Code:46917-0053
Mailing Address - Country:US
Mailing Address - Phone:574-686-3483
Mailing Address - Fax:574-686-3484
Practice Address - Street 1:115 WEST MAIN
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:IN
Practice Address - Zip Code:46917-0053
Practice Address - Country:US
Practice Address - Phone:574-686-3483
Practice Address - Fax:574-686-3484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN5136020001Medicare ID - Type Unspecified