John Marshall Provost in W Hazleton - Durable Medical Equipment & Medical Supplies
John Marshall Provost - NPI 1992821920
John Marshall Provost is a Durable Medical Equipment & Medical Supplies in W Hazleton, Pennsylvania. John Marshall Provost practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for John Marshall Provost is 1992821920. The last update date is 2007-07-08.
John Marshall Provost's current location address is 732 North St, W Hazleton, Pennsylvania. You can contact this provider via phone number 5704557704 and fax number 5704546324. The mailing address for John Marshall Provost is 732 North St, W Hazleton, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Marshall Provost |
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Address | 732 North St, W Hazleton, Pennsylvania |
Phone Number | 5704557704 |
Fax Number | 5704546324 |
Sole Proprietor | Y |
Credentials | C.PED |
NPI Number Detail
NPI Number | 1992821920 |
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Provider Enumeration Date | 2007-03-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 732 North St |
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City | W Hazleton |
State | Pennsylvania (PA) |
Post Code | 182023615 |
Phone Number | 5704557704 |
Fax Number | 5704546324 |
Provider's Primary Taxonomy Detail
Speciality | Durable Medical Equipment & Medical Supplies |
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Taxonomy | 332B00000X |
Licence No | 4244780002 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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A08009797 | PA | MEDICARE EDI BILLING NUMB |
Post Comment/ Review Below
What is the unique identifier code issued to John Marshall Provost by the Centers for Medicare & Medicaid Services (CMS)?
The John Marshall Provost has been assigned the NPI (National Provider Identifier) 1992821920. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where John Marshall Provost is located?
The John Marshall Provost is situated at the following address: 732 North St, W Hazleton, PA, 182023615.
What is John Marshall Provost's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Marshall Provost's area of specialization is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this field of practice is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1992821920 to John Marshall Provost?
The Centers for Medicare & Medicaid Services assigned the 1992821920 to John Marshall Provost on 2007-03-21.
As of what date was the information pertaining to John Marshall Provost, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Marshall Provost, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.