Provider Demographics
NPI:1073744645
Name:PEOPLES CHOICE MEDICAL INC
Entity Type:Organization
Organization Name:PEOPLES CHOICE MEDICAL INC
Other - Org Name:PEOPLES CHOICE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:1888-382-6119
Mailing Address - Street 1:1938 JIM CASEBOLT WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-1749
Mailing Address - Country:US
Mailing Address - Phone:188-838-2611
Mailing Address - Fax:188-838-2611
Practice Address - Street 1:1938 JIM CASEBOLT WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95835-1749
Practice Address - Country:US
Practice Address - Phone:188-838-2611
Practice Address - Fax:188-838-2611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment