Verify your organization

Submit your NPI number to verify and claim this organization. We’ll confirm your details and send account setup instructions.

NPI Number *

Email *

We’ll use this to send verification and account setup details.

Organization / Practice Name *

Contact First Name *

Contact Last Name *

Business Phone

Street Address

Address 2 / Suite

City

State

ZIP Code

Primary Specialty

License Number

Submit and verify

Organization summary

• NPI
  1700051711
• Name
  Eagle Dancer INC
• Account Contact
  Raymond Stidd
• Address
  414 S COLLEGE AVE, BLOOMINGTON, IN, 47403-1513
• Phone
  812-331-1962
• Specialties
  Durable Medical Equipment & Medical Supplies, Customized Equipment
• NPPES Last Updated
  2009-11-23

Claiming will create a provider account and send a welcome email with login instructions.