Provider Demographics
NPI:1831294750
Name:ACCLAIM MSG LLC
Entity Type:Organization
Organization Name:ACCLAIM MSG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:OJOKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-522-7452
Mailing Address - Street 1:33 DOVER ST
Mailing Address - Street 2:SUITE 113
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5973
Mailing Address - Country:US
Mailing Address - Phone:508-436-2685
Mailing Address - Fax:
Practice Address - Street 1:33 DOVER ST
Practice Address - Street 2:113
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-5938
Practice Address - Country:US
Practice Address - Phone:508-436-2685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5770740001Medicare NSC