Provider Demographics
NPI:1215190533
Name:JOERNS LLC
Entity Type:Organization
Organization Name:JOERNS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. COUNSEL AND CHIEF COMPLIANCE OF
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-249-0663
Mailing Address - Street 1:2430 WHITEHALL PARK DR STE 700
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-3423
Mailing Address - Country:US
Mailing Address - Phone:800-966-6662
Mailing Address - Fax:800-232-9796
Practice Address - Street 1:4223 PONDEROSA AVE STE B
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1529
Practice Address - Country:US
Practice Address - Phone:858-547-4828
Practice Address - Fax:858-547-4830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies