Provider Demographics
NPI:1477853653
Name:JG3 HOLDING COMPANY
Entity type:Organization
Organization Name:JG3 HOLDING COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-342-1230
Mailing Address - Street 1:5824 AKRON CLEVELAND RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-2074
Mailing Address - Country:US
Mailing Address - Phone:330-342-1230
Mailing Address - Fax:330-342-1240
Practice Address - Street 1:5824 AKRON CLEVELAND RD
Practice Address - Street 2:SUITE E
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-2074
Practice Address - Country:US
Practice Address - Phone:330-342-1230
Practice Address - Fax:330-342-1240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHHMEL. 11040 OH332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies