Provider Demographics
NPI:1174811731
Name:UNCLE BARN'S CUE SHEET EXCHANGE LLC
Entity type:Organization
Organization Name:UNCLE BARN'S CUE SHEET EXCHANGE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-400-4668
Mailing Address - Street 1:PO BOX 726
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-0726
Mailing Address - Country:US
Mailing Address - Phone:201-775-4274
Mailing Address - Fax:201-839-9001
Practice Address - Street 1:139 DECKER RD
Practice Address - Street 2:UNIT 2
Practice Address - City:BUTLER
Practice Address - State:NJ
Practice Address - Zip Code:07405-1543
Practice Address - Country:US
Practice Address - Phone:201-775-4274
Practice Address - Fax:201-839-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies