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WENDY A. WIGMORE NPI 1518011329


NPI Information

NPI: 1518011329
Provider Name: WENDY A. WIGMORE

Doing Business As: JACKSON MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
480 REDWOOD ST STE 44
VALLEJO, CA
ZIP 94590
Phone: (707) 644-4170
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WENDY A. WIGMORE is a durable medical equipment medical supplies in Vallejo, CA. 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. WENDY A. WIGMORE NPI is 1518011329. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson Medical Supply.

The provider's business location address is:

480 REDWOOD ST STE 44
VALLEJO, CA
ZIP 94590-958
Phone: (707) 644-4170
Fax: (707) 644-4163

The provider's authorized official is Wendy Ann Wigmore .
The authorized official title is Owner and has the following contact phone number (707) 446-7014.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 4/19/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesPENDINGCALIFORNIAYes

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: 4/28/2024

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