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1699094664 NPI number — ESSEX MEDICAL SUPPLY

NPI Number: 1699094664
Health Care Provider/Practitioner: ESSEX MEDICAL SUPPLY

Information about “1699094664” NPI (ESSEX MEDICAL SUPPLY) exists in 1699094664 in HTML format HTML  |  1699094664 in plain Text format TXT  |  1699094664 in PDF (Portable Document Format) PDF  |  1699094664 in an XML format XML  formats.

NPI Number : 1699094664 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699094664",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ESSEX MEDICAL SUPPLY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "20 TOWNE DR",
    "SecondLineMailingAddress": "SUITE 246",
    "MailingAddressCityName": "BLUFFTON",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29910-4204",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-837-3758",
    "MailingAddressFaxNumber": "866-936-8405",
    "FirstLinePracticeLocationAddress": "20 TOWNE DR",
    "SecondLinePracticeLocationAddress": "SUITE 246",
    "PracticeLocationAddressCityName": "BLUFFTON",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29910-4204",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-837-3758",
    "PracticeLocationAddressFaxNumber": "866-936-8405",
    "EnumerationDate": "05/28/2010",
    "LastUpdateDate": "05/28/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KEIL",
    "AuthorizedOfficialFirstName": "ANDREW",
    "AuthorizedOfficialMiddleName": "H.",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "843-837-3758",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": "AK2734",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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