Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL JACKSON
Active Sole ProprietorMICHAEL JACKSON is a Durable Medical Equipment & Medical Supplies healthcare provider located in GARDEN CITY, Idaho. NPI 1801365382 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · GARDEN CITY, ID
Registration Details
- NPI Number
- 1801365382
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2018 (7.7941155085321 yrs)
- Last Updated
- Nov 14, 2018
- License
-
NA (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5537B N GLENWOOD ST STE BGARDEN CITY, ID, 837141336Browse ID providers · Browse ZIP 83714
- Phone
- 2087899075
- Fax
- 2089172818
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.