Provider Demographics
NPI:1194974238
Name:ELECTROTHERAPY SYSTEMS, INC.
Entity type:Organization
Organization Name:ELECTROTHERAPY SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:PINGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-779-7039
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97308-0207
Mailing Address - Country:US
Mailing Address - Phone:503-779-7039
Mailing Address - Fax:
Practice Address - Street 1:476 WINDING CT SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-3822
Practice Address - Country:US
Practice Address - Phone:503-779-7039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies