Provider Demographics
NPI:1821744301
Name:AMERICAN PROFESSIONAL MANUFACTURING, INC.
Entity Type:Organization
Organization Name:AMERICAN PROFESSIONAL MANUFACTURING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:JEFFRIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-771-5123
Mailing Address - Street 1:PO BOX 4832
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95352-4832
Mailing Address - Country:US
Mailing Address - Phone:209-527-2686
Mailing Address - Fax:
Practice Address - Street 1:154 COYADO AVE
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-5813
Practice Address - Country:US
Practice Address - Phone:209-527-2686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies