JACKIE'S ENTERPRISES INC NPI 1073055489

NPI Information

  • NPI: 1073055489
  • Provider Name: JACKIE'S ENTERPRISES INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: HER UNDERTHINGS
  • Address: 210 CORNELIA ST
    SUITE 105
    PLATTSBURGH, NY
    ZIP 12901
  • Phone: (518) 869-1100

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NPI Details

JACKIE'S ENTERPRISES INC is a durable medical equipment medical supplies in Plattsburgh, NY. The provider is 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. JACKIE'S ENTERPRISES INC NPI is 1073055489. The provider is registered as an organization entity type.
The provider Is Doing Business As Her Underthings.

The provider's business location address is:

210 CORNELIA ST
SUITE 105
PLATTSBURGH, NY
ZIP 12901-336
Phone: (518) 869-1100
Fax: (518) 869-1105

The provider's authorized official is Jacklyn Keto .
The authorized official title is President/owner and has the following contact phone number (518) 869-1100.

The enumeration date for this NPI number is 11/16/2016 and was last updated on 1/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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