Provider Demographics
NPI:1508000290
Name:US HEALTHCARE SUPPLY LLC
Entity Type:Organization
Organization Name:US HEALTHCARE SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JON PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:LETKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-408-1480
Mailing Address - Street 1:14 BRIDGE ST
Mailing Address - Street 2:P.O. BOX 372
Mailing Address - City:MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08848-1223
Mailing Address - Country:US
Mailing Address - Phone:800-408-1480
Mailing Address - Fax:800-516-1896
Practice Address - Street 1:14 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:08848-1223
Practice Address - Country:US
Practice Address - Phone:800-408-1480
Practice Address - Fax:800-516-1896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-24
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJN/A332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6258630001Medicare NSC