Provider Demographics
NPI:1871994517
Name:MSJ CONSULTING
Entity type:Organization
Organization Name:MSJ CONSULTING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:W
Authorized Official - Last Name:GUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-425-3209
Mailing Address - Street 1:1121 PARK WEST BLVD
Mailing Address - Street 2:SUITE B #215
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-7122
Mailing Address - Country:US
Mailing Address - Phone:866-425-3209
Mailing Address - Fax:866-425-3209
Practice Address - Street 1:2612 LARCH LN
Practice Address - Street 2:SUITE 101
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-7192
Practice Address - Country:US
Practice Address - Phone:866-425-3209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies