| J & R Consulting Services Pllc | |
|
34 Us Highway 68 E Unit A Benton KY 42025-8336 | |
| (270) 410-1195 | |
| Not Available |
| Full Name | J & R Consulting Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 34 Us Highway 68 E Unit A, Benton, Kentucky |
| Authorized Official Name and Position | James Wiseman (OWNER) |
| Authorized Official Contact | 2704101195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J & R Consulting Services Pllc Po Box 766 Benton KY 42025-0766 Ph: (270) 410-1195 | J & R Consulting Services Pllc 34 Us Highway 68 E Unit A Benton KY 42025-8336 Ph: (270) 410-1195 |
| NPI Number | 1871113720 |
|---|---|
| Provider Enumeration Date | 04/21/2020 |
| Last Update Date | 05/11/2020 |
| Medicare PECOS PAC ID | 7012331325 |
|---|---|
| Medicare Enrollment ID | O20200720003409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871113720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Laura Purdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20200728001834 |
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