Healthcare Provider Details

I. General information

NPI: 1821167362
Provider Name (Legal Business Name): R & J MEDICARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 LOVERS LN
STEUBENVILLE OH
43953-3311
US

IV. Provider business mailing address

575 LOVERS LN
STEUBENVILLE OH
43953-3311
US

V. Phone/Fax

Practice location:
  • Phone: 740-266-6118
  • Fax: 740-264-8898
Mailing address:
  • Phone: 740-266-6118
  • Fax: 740-264-8898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JAMES J BOLGER
Title or Position: PRESIDENT
Credential:
Phone: 740-266-6118