Top Form Inc.
Durable Medical Equipment & Medical Supplies
1731 Dawson St, Wilmington
North Carolina, 28403-2326
910-392-5806 910-452-2913
Top Form Inc. is a Durable Medical Equipment & Medical Supplies in Wilmington, North Carolina. It is located at 1731 Dawson St, Wilmington and it's customer support contact number is 910-392-5806. The authorized person of Top Form Inc. is Mr. Martin Gallan who is Ceo of this DME and his contact number is 910-392-5806.
Top Form Inc. is a supplier of 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:
Top Form 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: | Top Form Inc. |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1731 Dawson St, Wilmington,
North Carolina, 28403-2326 |
| Phone: | 910-392-5806 |
| Fax: | 910-452-2913 |
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: | Mr. Martin Gallan |
| Position: | Ceo |
| Contact Number: | 910-392-5806 |
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: | 1598750010 |
| NPI Enumeration Date: | 12 Sep, 2005 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Top Form Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 045X2 | Other | North Carolina | Blue Cross And Blue Shiel |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 1594,
Wilmington, North Carolina |
| Zip: | 28402-1594 |
| Phone Number: | 910-392-5806 |
| Fax Number: | 910-452-2913 |
Patients can reach Top Form Inc. at
1731 Dawson St, Wilmington, North Carolina or can
call on customer care at 910-392-5806.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.