Provider Demographics
NPI:1508190323
Name:JETS LLC
Entity Type:Organization
Organization Name:JETS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:PFEIFFER
Authorized Official - Suffix:
Authorized Official - Credentials:C PED
Authorized Official - Phone:505-315-8080
Mailing Address - Street 1:1331 JUAN TABO BLVD NE STE B
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-4400
Mailing Address - Country:US
Mailing Address - Phone:505-315-8080
Mailing Address - Fax:505-299-9471
Practice Address - Street 1:1331 JUAN TABO BLVD NE STE B
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-4400
Practice Address - Country:US
Practice Address - Phone:505-315-8080
Practice Address - Fax:505-299-9471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies