BACK PAIN HOME SUPPLIES NPI 1780005801

NPI Information

NPI: 1780005801
Provider Name: BACK PAIN HOME SUPPLIES
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1133 E CHESTNUT AVE
BLDG 2
VINELAND, NJ
ZIP 08360
Phone: (856) 691-0482
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BACK PAIN HOME SUPPLIES is a durable medical equipment medical supplies in Vineland, NJ. The provider is 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. BACK PAIN HOME SUPPLIES NPI is 1780005801. The provider is registered as an organization entity type.

The provider's business location address is:

1133 E CHESTNUT AVE
BLDG 2
VINELAND, NJ
ZIP 08360-001
Phone: (856) 691-0482
Fax: (856) 690-8822

The provider's authorized official is Julie Marquez .
The authorized official title is Owner and has the following contact phone number (856) 691-0482.

The enumeration date for this NPI number is 12/16/2013 and was last updated on 4/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		0400601424	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7032160001	MEDICARE NSC	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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