Provider Demographics
NPI:1366737124
Name:2JC LLC
Entity type:Organization
Organization Name:2JC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:HECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-230-2323
Mailing Address - Street 1:4015 SW CONCORD ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-2526
Mailing Address - Country:US
Mailing Address - Phone:866-230-2323
Mailing Address - Fax:866-888-4959
Practice Address - Street 1:4015 SW CONCORD ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-2526
Practice Address - Country:US
Practice Address - Phone:866-230-2323
Practice Address - Fax:866-888-4959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies