Jalopy Shoppe, Inc in Lake Jackson - Customized Equipment
Jalopy Shoppe, Inc - NPI 1912922857
Jalopy Shoppe, Inc is a Customized Equipment in Lake Jackson, Texas. Jalopy Shoppe, Inc practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Jalopy Shoppe, Inc is 1912922857. The last update date is 2009-02-11.
Jalopy Shoppe, Inc's current location address is 459 This Way St, Lake Jackson, Texas. You can contact this provider via phone number 9792977014 and fax number 4096542068. The mailing address for Jalopy Shoppe, Inc is 459 This Way St, Lake Jackson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jalopy Shoppe, Inc |
|---|---|
| Address | 459 This Way St, Lake Jackson, Texas |
| Phone Number | 9792977014 |
| Fax Number | 4096542068 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kaltrider Scott |
| Telephone Number | 2038372330 |
NPI Number Detail
| NPI Number | 1912922857 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2009-02-11 |
Provider Mailing Address Detail
| Address | 459 This Way St |
|---|---|
| City | Lake Jackson |
| State | Texas (TX) |
| Post Code | 775665143 |
| Phone Number | 9792977014 |
| Fax Number | 4096542068 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1113458-03 | TX | -- | |
| 0117251-01 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jalopy Shoppe, Inc?
The Jalopy Shoppe, Inc has been issued the NPI (National Provider Identifier) 1912922857 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jalopy Shoppe, Inc is geographically located?
The Jalopy Shoppe, Inc is physically situated at the following location: 459 This Way St, Lake Jackson, TX, 775665143.
What is Jalopy Shoppe, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jalopy Shoppe, Inc's area of specialization is Customized Equipment, and the corresponding taxonomy code that categorizes this field of practice is 332Bc3200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912922857 to Jalopy Shoppe, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1912922857 to Jalopy Shoppe, Inc on 2006-07-13.
As of what date were the details pertaining to Jalopy Shoppe, Inc last refreshed?
The information related to the Jalopy Shoppe, Inc, including its address, specialty, and other relevant details, was last updated on 2009-02-11.