Healthcare Provider Details

I. General information

NPI: 1154664134
Provider Name (Legal Business Name): E&H MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2013
Last Update Date: 03/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 W OAK GROVE RD
HERNANDO MS
38632-7609
US

IV. Provider business mailing address

PO BOX 855
HERNANDO MS
38632-0855
US

V. Phone/Fax

Practice location:
  • Phone: 901-359-2901
  • Fax:
Mailing address:
  • Phone: 901-359-2901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JOSH LYNCH
Title or Position: OWNER
Credential:
Phone: 901-359-2901