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Mr. Patrick Louis Jackson SR.
Durable Medical Equipment & Medical Supplies in Plaquemine, Louisiana
NPI 1427273713

Patrick Louis Jackson SR. is a Durable Medical Equipment & Medical Supplies based in Plaquemine, LA. Patrick Louis Jackson SR. practices in Plaquemine, LA. The NPI Number for Patrick Louis Jackson SR. is 1427273713 and holds a License No. 332B00000X (Louisiana).

The current practice location address for Patrick Louis Jackson SR. is 58110 W W Harleaux St, Plaquemine, LA and can be reached out via phone at 225-385-4251 and via fax at 225-385-4251.

Location: 58110 W W Harleaux St, Plaquemine, LA, 70764-3230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427273713
Provider Name
Patrick Louis Jackson SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
58110 W W Harleaux St, Plaquemine, LA, 70764-3230
Phone Number
225-385-4251
Fax Number
225-385-4251
Provider Enumeration Date
04/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
58110 W W Harleaux St
City
Plaquemine
State
Louisiana
Zip
70764-3230
Phone Number
225-385-4251
Fax Number
225-385-4251
person
Provider Business Mailing Address Details
Address
58110 W W Harleaux St
City
Plaquemine
State
Louisiana
Zip
70764-3230
Phone Number
225-385-4251
Fax Number
225-385-4251
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
332B00000X (Louisiana)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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