Provider Demographics
NPI:1992760565
Name:AEROSOL PLUS
Entity type:Organization
Organization Name:AEROSOL PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WERNER
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-408-4307
Mailing Address - Street 1:792 FOLLY RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-3476
Mailing Address - Country:US
Mailing Address - Phone:843-795-6452
Mailing Address - Fax:877-795-6453
Practice Address - Street 1:792 FOLLY RD
Practice Address - Street 2:SUITE 1
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-3476
Practice Address - Country:US
Practice Address - Phone:843-795-6452
Practice Address - Fax:843-795-6453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2006-00933 CC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDE2767Medicaid
SCDE2767Medicaid