Healthcare Provider Details

I. General information

NPI: 1417147968
Provider Name (Legal Business Name): MEDICAL NECESSITIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2007
Last Update Date: 07/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 E MATTHEWS AVE
JONESBORO AR
72401-4348
US

IV. Provider business mailing address

2000 E MATTHEWS AVE
JONESBORO AR
72401-4348
US

V. Phone/Fax

Practice location:
  • Phone: 870-935-4825
  • Fax: 870-935-5744
Mailing address:
  • Phone: 870-935-4825
  • Fax: 870-935-5744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: JOE E SIMPSON
Title or Position: OWNER
Credential:
Phone: 870-935-4825