Organization Name: | J & P MEDICAL LC |
NPI Number: | 1639243645 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL J MCCULLEN (OWNER) |
Mailing Address: | 7586 Olive Blvd University City |
State: | MO US |
Postal Code: | 631301601 |
Phone Number: | 3148638633 |
Fax Number: | 3148638633 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 17004454 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |