Provider Demographics
NPI:1841551520
Name:JC ALLIANCE INTL LLC
Entity type:Organization
Organization Name:JC ALLIANCE INTL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-930-7894
Mailing Address - Street 1:306 W BROAD ST APT A
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1253
Mailing Address - Country:US
Mailing Address - Phone:908-930-7894
Mailing Address - Fax:866-833-2395
Practice Address - Street 1:306 W BROAD ST APT A
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1253
Practice Address - Country:US
Practice Address - Phone:908-930-7894
Practice Address - Fax:866-833-2395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies