Provider Demographics
NPI:1386643443
Name:MY OXYGEN CO. INC.
Entity type:Organization
Organization Name:MY OXYGEN CO. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:BRAGIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-233-0119
Mailing Address - Street 1:PO BOX 1183
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-0183
Mailing Address - Country:US
Mailing Address - Phone:866-696-9943
Mailing Address - Fax:989-839-2970
Practice Address - Street 1:1201 E RICHMOND ST
Practice Address - Street 2:
Practice Address - City:SHAWANO
Practice Address - State:WI
Practice Address - Zip Code:54166-2645
Practice Address - Country:US
Practice Address - Phone:866-696-9943
Practice Address - Fax:989-839-2970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI4830760001Medicare NSC