Jalopy Shoppe, Inc in Longview - Parenteral & Enteral Nutrition
Jalopy Shoppe, Inc - NPI 1760407613
Jalopy Shoppe, Inc is a Parenteral & Enteral Nutrition in Longview, Texas. Jalopy Shoppe, Inc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Jalopy Shoppe, Inc is 1760407613. The last update date is 2009-01-23.
Jalopy Shoppe, Inc's current location address is 1208 Champion Way, Longview, Texas. You can contact this provider via phone number 9036635260 and fax number 9036631400. The mailing address for Jalopy Shoppe, Inc is 1208 Champion Way, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jalopy Shoppe, Inc |
|---|---|
| Address | 1208 Champion Way, Longview, Texas |
| Phone Number | 9036635260 |
| Fax Number | 9036631400 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kaltrider Scott |
| Telephone Number | 2038372330 |
NPI Number Detail
| NPI Number | 1760407613 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2009-01-23 |
Provider Mailing Address Detail
| Address | 1208 Champion Way |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756045966 |
| Phone Number | 9036635260 |
| Fax Number | 9036631400 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0117160-01 | TX | -- | |
| 1391773-02 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jalopy Shoppe, Inc by the Centers for Medicare & Medicaid Services?
The Jalopy Shoppe, Inc has been issued the NPI (National Provider Identifier) 1760407613, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jalopy Shoppe, Inc?
The Jalopy Shoppe, Inc is situated at 1208 Champion Way, in the city of Longview, state of TX, with the zip code 756045966.
What is the Jalopy Shoppe, Inc's specialty and taxonomy code?
The Jalopy Shoppe, Inc's specialty is Parenteral & Enteral Nutrition, and the corresponding taxonomy code is 332Bp3500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760407613 to Jalopy Shoppe, Inc?
The Jalopy Shoppe, Inc received its 1760407613 assignment from the Centers for Medicare & Medicaid Services on 2006-07-13.
As of what date were the Jalopy Shoppe, Inc's details last updated?
The information pertaining to the Jalopy Shoppe, Inc, including its address, specialty, and other details, was most recently updated on 2009-01-23.