Eagle Dancer Inc
Customized Equipment
414 S College Ave, Bloomington
Indiana, 47403-1513
812-331-1962 812-332-1949
Eagle Dancer Inc is a Customized Equipment in Bloomington, Indiana. It is located at 414 S College Ave, Bloomington and it's customer support contact number is 812-331-1962. The authorized person of Eagle Dancer Inc is Raymond Stidd, DPM who is Provider of this DME and his contact number is 812-330-0909. Active license number of Eagle Dancer Inc is 280-B for Customized Equipment in Indiana.
Eagle Dancer Inc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Eagle Dancer Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Eagle Dancer Inc |
| Type: | Customized Equipment |
| Location: | 414 S College Ave, Bloomington,
Indiana, 47403-1513 |
| Phone: | 812-331-1962 |
| Fax: | 812-332-1949 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Raymond Stidd |
| Credentials: | DPM |
| Position: | Provider |
| Contact Number: | 812-330-0909 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1700051711 |
| NPI Enumeration Date: | 30 Apr, 2008 |
| NPI Last Update On: | 23 Nov, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eagle Dancer Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | 280-B | Indiana | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 414 S College Ave,
Bloomington, Indiana |
| Zip: | 47403-1513 |
| Phone Number: | 812-331-1962 |
| Fax Number: | 812-332-1949 |
Patients can reach Eagle Dancer Inc at
414 S College Ave, Bloomington, Indiana or can
call on customer care at 812-331-1962.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.