Jerry Ike in Grand Prairie - Durable Medical Equipment & Medical Supplies
Jerry Ike - NPI 1154312148
Jerry Ike is a Durable Medical Equipment & Medical Supplies in Grand Prairie, Texas. Jerry Ike practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Jerry Ike is 1154312148. The last update date is 2010-11-23.
Jerry Ike's current location address is 2306 Oak Ln., Ste 16, Grand Prairie, Texas. You can contact this provider via phone number 9722627752 and fax number 9722370430. The mailing address for Jerry Ike is 2306 Oak Ln., Ste 16, Grand Prairie, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jerry Ike |
|---|---|
| Address | 2306 Oak Ln., Ste 16, Grand Prairie, Texas |
| Phone Number | 9722627752 |
| Fax Number | 9722370430 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ike J Jerry |
| Telephone Number | 9722627752 |
NPI Number Detail
| NPI Number | 1154312148 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2010-11-23 |
Provider Mailing Address Detail
| Address | 2306 Oak Ln., Ste 16 |
|---|---|
| City | Grand Prairie |
| State | Texas (TX) |
| Post Code | 75051 |
| Phone Number | 9722627752 |
| Fax Number | 9722370430 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 71940 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| TPI 170054401 | TX | -- | |
| TPI 170054402 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jerry Ike by the Centers for Medicare & Medicaid Services?
The Jerry Ike has been assigned the NPI (National Provider Identifier) 1154312148. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jerry Ike is located?
The Jerry Ike is situated at the following address: 2306 Oak Ln., Ste 16, Grand Prairie, TX, 75051.
What is Jerry Ike's area of expertise and its corresponding taxonomy classification?
The Jerry Ike's field of specialization is Durable Medical Equipment & Medical Supplies, and it falls under the taxonomy code 332B00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jerry Ike receive its 1154312148 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Ike was assigned its 1154312148 by the Centers for Medicare & Medicaid Services on 2005-10-31.
As of what date was the information pertaining to Jerry Ike, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerry Ike, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-11-23.
NPI Number: 1720081763
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