Individual provider · Type 1 NPI
Michael Jackson
Durable Medical Equipment & Medical Supplies · Garden City, ID
Practice location
5537B N Glenwood St Ste B
Garden City, ID 83714-1336
Fax (208) 917-2818
Mailing address
PO Box 326
Meridian, ID 83680-0326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | NA (ID) |
Durable Medical Equipment & Medical Supplies: 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.
About NPI 1801365382
Michael Jackson's National Provider Identifier is 1801365382, issued on Nov 14, 2018. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Garden City, ID. The record was last updated on Nov 14, 2018.