Provider Demographics
NPI:1710356266
Name:JB3 INNOVATIONS, LLC
Entity Type:Organization
Organization Name:JB3 INNOVATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BENDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-324-2856
Mailing Address - Street 1:6140 HIGHWAY 6 STE 209
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3802
Mailing Address - Country:US
Mailing Address - Phone:888-224-6160
Mailing Address - Fax:888-224-6160
Practice Address - Street 1:802 SUMMER PARK DR STE 203
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-5573
Practice Address - Country:US
Practice Address - Phone:888-224-6160
Practice Address - Fax:888-224-6160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier