Provider Demographics
NPI:1487862231
Name:NORTH AMERICAN MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:NORTH AMERICAN MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:EJIOGU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:202-210-3960
Mailing Address - Street 1:1408 MEADOWSWEET DR
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20860-1042
Mailing Address - Country:US
Mailing Address - Phone:301-526-0367
Mailing Address - Fax:
Practice Address - Street 1:1408 MEADOWSWEET DR
Practice Address - Street 2:
Practice Address - City:SANDY SPRING
Practice Address - State:MD
Practice Address - Zip Code:20860-1042
Practice Address - Country:US
Practice Address - Phone:301-526-0367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
MD332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies