Provider Demographics
NPI:1083954358
Name:JA JE ENTERPRISES INC
Entity Type:Organization
Organization Name:JA JE ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EZZARD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:GADSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-234-7672
Mailing Address - Street 1:4920 BLACKHAWK WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-4325
Mailing Address - Country:US
Mailing Address - Phone:720-234-7672
Mailing Address - Fax:
Practice Address - Street 1:4920 BLACKHAWK WAY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-4325
Practice Address - Country:US
Practice Address - Phone:720-234-7672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies