Provider Demographics
NPI:1043564404
Name:JCMJ ENTERPRISES, INC.
Entity Type:Organization
Organization Name:JCMJ ENTERPRISES, INC.
Other - Org Name:AUDIBEL HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:NY LIC, AA
Authorized Official - Phone:845-492-2050
Mailing Address - Street 1:3062 ROUTE 9W
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-7658
Mailing Address - Country:US
Mailing Address - Phone:845-567-6347
Mailing Address - Fax:845-567-6348
Practice Address - Street 1:3062 ROUTE 9W
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-7658
Practice Address - Country:US
Practice Address - Phone:845-567-6347
Practice Address - Fax:845-567-6348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15000009663332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment