Provider Demographics
NPI:1295758217
Name:BISCHOFF'S MEDICAL SUPPLIES
Entity type:Organization
Organization Name:BISCHOFF'S MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BISCHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-338-6552
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:BROWNS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95918-0097
Mailing Address - Country:US
Mailing Address - Phone:530-743-2234
Mailing Address - Fax:530-743-6621
Practice Address - Street 1:7700 SUNRISE BLVD STE 1300
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-2380
Practice Address - Country:US
Practice Address - Phone:916-721-1060
Practice Address - Fax:916-721-4790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102957332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4416050004Medicare NSC