Healthcare Provider Details

I. General information

NPI: 1154091841
Provider Name (Legal Business Name): NOSKCO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 03/14/2022
Certification Date: 03/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 S MAIN ST STE 11
OLD FORGE PA
18518-1684
US

IV. Provider business mailing address

429 S MAIN ST STE 11
OLD FORGE PA
18518-1684
US

V. Phone/Fax

Practice location:
  • Phone: 570-457-2895
  • Fax: 570-457-2917
Mailing address:
  • Phone: 570-457-2895
  • Fax: 570-457-2917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JONATHAN JONES
Title or Position: OWNER
Credential:
Phone: 570-504-4663