Organization
JTBMEDICAL LLC
Active
Other names
PUSHANE ALEXANDER
Organization subpart
No
Provider details
NPI number
Authorized official
PUSHANE LATREASE ALEXANDER (PRESIDENT)
(219) 884-1409
Entity
Organization
Contact information
Practice address
4334 JEFFERSON ST, GARY, IN 46408-3350
(219) 884-1409
Mailing address
1015 W 35TH AVE, GARY, IN 46408-1564
(219) 884-1409
(219) 951-0542
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IN
Other
Enumeration date
06/12/2006
Last updated
08/22/2020
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