Provider Demographics
NPI:1871652842
Name:PRN MARKETING INC
Entity Type:Organization
Organization Name:PRN MARKETING INC
Other - Org Name:YUMA BRACE & SPLINT OR RX POSITIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HEWLETT
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:928-344-5471
Mailing Address - Street 1:2051 W 25TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6912
Mailing Address - Country:US
Mailing Address - Phone:928-344-5471
Mailing Address - Fax:928-344-0322
Practice Address - Street 1:2051 W 25TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6912
Practice Address - Country:US
Practice Address - Phone:928-344-5471
Practice Address - Fax:928-344-0322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ339798Medicaid
AZAZ0704000OtherBCBS OF ARIZONA
AZ0959910001Medicare ID - Type UnspecifiedMEDICARE ID