Provider Demographics
NPI:1699052746
Name:STEALTH BELT INCORPORATED
Entity type:Organization
Organization Name:STEALTH BELT INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:HAMILL
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:1800-237-4491
Mailing Address - Street 1:119 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-2601
Mailing Address - Country:US
Mailing Address - Phone:800-237-4491
Mailing Address - Fax:888-227-0163
Practice Address - Street 1:119 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:TN
Practice Address - Zip Code:37615-2601
Practice Address - Country:US
Practice Address - Phone:800-237-4491
Practice Address - Fax:888-227-0163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment