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Contact Information

JDR CORP
7202 EVERGREEN WAY
EVERETT, WA98203-5661
 Phone: 425-353-6563
 Fax: 425-355-6159
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vehicle Modifications

171WV0202X
 

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for JDR CORP

NPI # 1598141731
LBN Legal business name JDR CORP
Authorized official LAWRENCE RICHARDSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2015
Last updated 08/11/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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