Organization
JB MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIA BETH BAKER CFTS (OWNER)
(812) 228-6222
Entity
Organization
Contact information
Practice address
815 JOHN ST, SUITE 120 B, EVANSVILLE, IN 47713-2746
(812) 491-8300
Mailing address
815 JOHN ST, SUITE 120 B, EVANSVILLE, IN 47713-2746
(812) 491-8300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
69000526A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69000526A
HOME MEDICAL EQUIPMENT SERVICE PROVIDER
IN
Enumeration date
10/21/2009
Last updated
12/28/2009
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