Wig Wam Boutique Llc
Durable Medical Equipment & Medical Supplies
313 W 17th St, Bloomington
Indiana, 47404-3453
812-332-4914 Wig Wam Boutique Llc is a Durable Medical Equipment & Medical Supplies in Bloomington, Indiana. It is located at 313 W 17th St, Bloomington and it's customer support contact number is 812-332-4914. The authorized person of Wig Wam Boutique Llc is Marshalene Evans who is Member & Registered Agent of this DME and his contact number is 812-498-1857.
Wig Wam Boutique Llc 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:
Wig Wam Boutique Llc 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: | Wig Wam Boutique Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 313 W 17th St, Bloomington,
Indiana, 47404-3453 |
| Phone: | 812-332-4914 |
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: | Marshalene Evans |
| Position: | Member & Registered Agent |
| Contact Number: | 812-498-1857 |
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: | 1821504697 |
| NPI Enumeration Date: | 15 Dec, 2017 |
| NPI Last Update On: | 15 Dec, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wig Wam Boutique Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | 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: | 397 S Gum St,
North Vernon, Indiana |
| Zip: | 47265-2055 |
| Phone Number: | -- |
Patients can reach Wig Wam Boutique Llc at
313 W 17th St, Bloomington, Indiana or can
call on customer care at 812-332-4914.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.