Michael Jackson
Michael Jackson is a Durable Medical Equipment & Medical Supplies in Garden City, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2018
Practice location Address checks out
5537B N Glenwood St Ste BGarden City, ID 83714-1336
Phone: (208) 789-9075
Fax: (208) 917-2818
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence NA (ID) |
|---|
Record details
| NPI number | 1801365382 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 14, 2018 |
| Last updated in NPPES | November 14, 2018 |
| Mailing address | Po Box 326, Meridian, ID 83680-0326 |
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