Jak Enterprises Inc in Peoria - Durable Medical Equipment & Medical Supplies
Jak Enterprises Inc - NPI 1164476354
Jak Enterprises Inc is a Durable Medical Equipment & Medical Supplies in Peoria, Illinois. Jak Enterprises Inc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Jak Enterprises Inc is 1164476354. The last update date is 2023-03-07.
Jak Enterprises Inc's current location address is 8309 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096939540 and fax number 3096939542. The mailing address for Jak Enterprises Inc is 8309 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Jak Enterprises Inc |
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Address | 8309 N Knoxville Ave, Peoria, Illinois |
Phone Number | 3096939540 |
Fax Number | 3096939542 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Hall J Diana |
Telephone Number | 3096939540 |
NPI Number Detail
NPI Number | 1164476354 |
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Provider Enumeration Date | 2006-05-20 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 8309 N Knoxville Ave |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616152170 |
Phone Number | 3096939540 |
Fax Number | 3096939542 |
Provider's Primary Taxonomy Detail
Speciality | Durable Medical Equipment & Medical Supplies |
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Taxonomy | 332B00000X |
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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What is the Jak Enterprises Inc's unique identification number?
The Jak Enterprises Inc has been assigned the NPI (National Provider Identifier) Number 1164476354 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jak Enterprises Inc?
The Jak Enterprises Inc is situated at 8309 N Knoxville Ave, in the city of Peoria, state of IL, with the zip code 616152170.
What is Jak Enterprises Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jak Enterprises Inc is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy classification code for this specialized field is 332B00000X.
On what date did Jak Enterprises Inc receive its 1164476354 assignment from the Centers for Medicare & Medicaid Services?
The Jak Enterprises Inc was assigned its 1164476354 on 2006-05-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jak Enterprises Inc's information last updated?
The Jak Enterprises Inc's information was last updated on 2023-03-07.