Provider Demographics
NPI:1851300180
Name:PRN DEVICES INC.
Entity Type:Organization
Organization Name:PRN DEVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:SKINNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-857-6000
Mailing Address - Street 1:210 HINDS BLVD
Mailing Address - Street 2:
Mailing Address - City:RAYMOND
Mailing Address - State:MS
Mailing Address - Zip Code:39154-9303
Mailing Address - Country:US
Mailing Address - Phone:601-857-6000
Mailing Address - Fax:601-857-6003
Practice Address - Street 1:210 HINDS BLVD
Practice Address - Street 2:
Practice Address - City:RAYMOND
Practice Address - State:MS
Practice Address - Zip Code:39154-9303
Practice Address - Country:US
Practice Address - Phone:601-857-6000
Practice Address - Fax:601-857-6003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00440052Medicaid
MS00440052Medicaid
0797210001Medicare NSC