Jalopy Shoppe, Inc. in Salt Lake City - Parenteral & Enteral Nutrition
Jalopy Shoppe, Inc. - NPI 1215953484
Jalopy Shoppe, Inc. is a Parenteral & Enteral Nutrition in Salt Lake City, Utah. Jalopy Shoppe, Inc. practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Jalopy Shoppe, Inc. is 1215953484. The last update date is 2007-12-05.
Jalopy Shoppe, Inc.'s current location address is 203 E 6100 S, Salt Lake City, Utah. You can contact this provider via phone number 8012617139 and fax number 8012885906. The mailing address for Jalopy Shoppe, Inc. is 203 E 6100 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Jalopy Shoppe, Inc. |
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Address | 203 E 6100 S, Salt Lake City, Utah |
Phone Number | 8012617139 |
Fax Number | 8012885906 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Kaltrider Scott |
Telephone Number | 2038372330 |
NPI Number Detail
NPI Number | 1215953484 |
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Provider Enumeration Date | 2006-07-14 |
Last Updated Date | 2007-12-05 |
Provider Mailing Address Detail
Address | 203 E 6100 S |
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City | Salt Lake City |
State | Utah (UT) |
Post Code | 841077302 |
Phone Number | 8012617139 |
Fax Number | 8012885906 |
Provider's Primary Taxonomy Detail
Speciality | Parenteral & Enteral Nutrition |
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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 |
---|---|---|---|
76251 | MS | -- |
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What is the Jalopy Shoppe, Inc.'s 1215953484?
The Jalopy Shoppe, Inc.'s NPI (National Provider Identifier) Number is 1215953484. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jalopy Shoppe, Inc. located?
The Jalopy Shoppe, Inc. is located at 203 E 6100 S, Salt Lake City, UT 841077302.
What is the area of specialization for Jalopy Shoppe, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jalopy Shoppe, Inc. is Parenteral & Enteral Nutrition, and the corresponding taxonomy code that categorizes this area of expertise is 332Bp3500X.
On what date did the Jalopy Shoppe, Inc. receive the assignment of its 1215953484 from the Centers for Medicare & Medicaid Services?
The Jalopy Shoppe, Inc. was issued its 1215953484 by the Centers for Medicare & Medicaid Services on 2006-07-14.
When was the information regarding Jalopy Shoppe, Inc. most recently updated?
The details pertaining to the Jalopy Shoppe, Inc., including its address, specialty, and other relevant information, were last refreshed on 2007-12-05.