Provider Demographics
NPI:1851561476
Name:JQ AMERICAN, INC.
Entity Type:Organization
Organization Name:JQ AMERICAN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:QURESHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-781-4973
Mailing Address - Street 1:28306 INDUSTRIAL BLVD
Mailing Address - Street 2:SUITE G
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-4438
Mailing Address - Country:US
Mailing Address - Phone:510-781-4973
Mailing Address - Fax:510-781-4984
Practice Address - Street 1:28306 INDUSTRIAL BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-4438
Practice Address - Country:US
Practice Address - Phone:510-781-4973
Practice Address - Fax:510-781-4984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAWLS4243332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies