Provider Demographics
NPI:1043551567
Name:CAJETAN LLC
Entity Type:Organization
Organization Name:CAJETAN LLC
Other - Org Name:HANDYPRO OF CINCINNATI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:PYLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-258-2490
Mailing Address - Street 1:3429 SAINT JOHNS PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-2505
Mailing Address - Country:US
Mailing Address - Phone:513-258-2490
Mailing Address - Fax:513-871-0241
Practice Address - Street 1:3429 SAINT JOHNS PL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-2505
Practice Address - Country:US
Practice Address - Phone:513-258-2490
Practice Address - Fax:513-871-0241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies