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Michael Jackson
Durable Medical Equipment & Medical Supplies in Garden City, Idaho
NPI 1801365382

Michael Jackson is a Durable Medical Equipment & Medical Supplies based in Meridian, ID. Michael Jackson practices in Garden City, ID. The NPI Number for Michael Jackson is 1801365382 and holds a License No. NA (Idaho).

The current practice location address for Michael Jackson is 5537B N Glenwood St Ste B, Garden City, ID and can be reached out via phone at 208-789-9075 and via fax at 208-917-2818.

Location: 5537B N Glenwood St Ste B, Garden City, ID, 83680-0326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801365382
Provider Name
Michael Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5537B N Glenwood St Ste B, Garden City, ID, 83680-0326
Phone Number
208-789-9075
Fax Number
208-917-2818
Provider Enumeration Date
11/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5537B N Glenwood St Ste B
City
Garden City
State
Idaho
Zip
83714-1336
Phone Number
208-789-9075
Fax Number
208-917-2818
person
Provider Business Mailing Address Details
Address
5537B N Glenwood St Ste B
City
Garden City
State
Idaho
Zip
83714-1336
Phone Number
208-789-9075
Fax Number
208-917-2818
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
NA (Idaho)
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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