Provider Demographics
NPI:1457679185
Name:JACKSON MEDICAL EQUIPMENT COMPANY, INC.
Entity Type:Organization
Organization Name:JACKSON MEDICAL EQUIPMENT COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHREIBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-429-9903
Mailing Address - Street 1:PO BOX 913
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-0913
Mailing Address - Country:US
Mailing Address - Phone:856-429-9903
Mailing Address - Fax:856-429-9903
Practice Address - Street 1:39 MANOR HOUSE DR
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-5134
Practice Address - Country:US
Practice Address - Phone:856-429-9903
Practice Address - Fax:856-429-9903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies