John J. Buchbach
Durable Medical Equipment & Medical Supplies, Customized Equipment in Alexandria, VA. Organization (NPI-2).
NPI number1477587640
StatusActive
Last updated in NPPESJun 24, 2008
Details
- NPI
- 1477587640
- Entity type
- Organization (NPI-2)
- Legal business name
- John J. Buchbach
- Organization subpart
- No
- Enumeration date
- Jul 11, 2006
- Last updated
- Jun 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | 0622638 | VA | Yes |
Other names
- East Coast Rehab, LLC (Other Name)
Practice location
4944c Eisenhower AveAlexandria, VA 22304-4809
Phone 703-370-5790 · Fax 703-370-5793
Mailing address
4944c Eisenhower AveAlexandria, VA 22304-4809
Phone 703-370-5790 · Fax 703-370-5793
Authorized official
John Jacob Buchbach
Owner
7033705790
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