Ae Wellness, LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Jackson, MO

NPI 1396137121 · NPPES record last updated Apr 20, 2016

Key facts

NPI
1396137121
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
AE WELLNESS, LLC
Practice address
415 W Main St
Suite B
Jackson, MO 63755-1801
Phone
(573) 225-2151
NPI assigned
Mar 3, 2015
Organization subpart
No

Authorized official

Name
Mr. Jamie K McCoy
Title
Manager
Phone
(573) 225-2151

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

415 W Main St
Ste B
Jackson, MO 63755
Phone (573) 755-0334

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

415 W Main St
Suite B
Jackson, MO 63755-1801

Mailing address

415 W Main St
Suite B
Jackson, MO 63755-1801
Phone (573) 225-2151

Other providers in Jackson, MO

All providers in Jackson, MO · Durable Medical Equipment & Medical Supplies in Missouri

Sources for this page

Verify at the official NPI Registry.