Organization Name: | JOHNSON BROS. GOLF CARS INC. |
NPI Number: | 1437340874 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS ARTHUR JOHNSON (CFO) |
Mailing Address: | 14160 54th Ave Se Blooming Prairie |
State: | MN US |
Postal Code: | 559177949 |
Phone Number: | 5073831215 |
Fax Number: | 5075837498 |
NPI Enumeration Date: | 08/08/2007 |
NPI Last Update Date: | 08/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |