Individual provider · Type 1 NPI
John Marshall Provost, C.PED
Durable Medical Equipment & Medical Supplies · Hazleton, PA
Practice location
25 Laurel Mall, Provost Shoes
Hazleton, PA 18202-1201
Fax (570) 455-7704
Mailing address
732 North St
West Hazleton, PA 18202-3615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | 4244780002 (PA) |
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.
Another provider at this address
About NPI 1992821920
John Marshall Provost, C.PED's National Provider Identifier is 1992821920, issued on Mar 21, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Hazleton, PA. The record was last updated on Jul 8, 2007.