Provider Demographics
NPI:1659153823
Name:INNIS BILLING & CONSULTING LLC
Entity Type:Organization
Organization Name:INNIS BILLING & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:INNIS
Authorized Official - Suffix:
Authorized Official - Credentials:AA, CRCR
Authorized Official - Phone:732-533-9963
Mailing Address - Street 1:97 STARLIGHT RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-2215
Mailing Address - Country:US
Mailing Address - Phone:800-728-0849
Mailing Address - Fax:800-728-0849
Practice Address - Street 1:97 STARLIGHT RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-2215
Practice Address - Country:US
Practice Address - Phone:800-728-0849
Practice Address - Fax:800-728-0849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2023-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1834429OtherSTATE LICENSE