Provider Demographics
NPI:1437489721
Name:JONOTT ENTERPRISE
Entity Type:Organization
Organization Name:JONOTT ENTERPRISE
Other - Org Name:JONOTT MEDICAL EQUIPMENT AND SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-669-3200
Mailing Address - Street 1:1001 WELCH RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48390-2864
Mailing Address - Country:US
Mailing Address - Phone:248-669-3200
Mailing Address - Fax:248-669-3201
Practice Address - Street 1:1001 WELCH RD
Practice Address - Street 2:SUITE 104
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48390-2864
Practice Address - Country:US
Practice Address - Phone:248-669-3200
Practice Address - Fax:248-669-3201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies