| Organization Name: | J & B MEDICAL SUPPLY CO INC |
| NPI Number: | 1629148853 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIAN B SHAYA (VP) |
| Mailing Address: | 50496 W Pontiac Trail Wixom |
| State: | MI US |
| Postal Code: | 48393 |
| Phone Number: | 8007370045 |
| Fax Number: | 2489608082 |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 12/04/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 05/10/2007 |
| NPI Reactivation Date: | 12/04/2007 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | BME0145457 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |