Provider Demographics
NPI:1417335852
Name:BANDAIDSPLUS, LLC
Entity Type:Organization
Organization Name:BANDAIDSPLUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:M
Authorized Official - Last Name:TOUTOUNGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:260-450-1046
Mailing Address - Street 1:327 E WAYNE ST
Mailing Address - Street 2:STE-175
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46802-2753
Mailing Address - Country:US
Mailing Address - Phone:260-450-1046
Mailing Address - Fax:260-638-8084
Practice Address - Street 1:327 E WAYNE ST
Practice Address - Street 2:STE-175
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46802-2753
Practice Address - Country:US
Practice Address - Phone:260-450-1046
Practice Address - Fax:260-638-8084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies