Provider Demographics
NPI:1730321597
Name:JP DME, INC.
Entity Type:Organization
Organization Name:JP DME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PRESTON
Authorized Official - Middle Name:
Authorized Official - Last Name:PEACHEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-437-4323
Mailing Address - Street 1:4630 BAYARD PARK DR
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-0600
Mailing Address - Country:US
Mailing Address - Phone:812-437-4323
Mailing Address - Fax:
Practice Address - Street 1:4630 BAYARD PARK DR
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-0600
Practice Address - Country:US
Practice Address - Phone:812-437-4323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies