Provider Demographics
NPI:1851528129
Name:BIONIC RESOURCES LLC
Entity Type:Organization
Organization Name:BIONIC RESOURCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWELKE
Authorized Official - Suffix:
Authorized Official - Credentials:CPO LPO
Authorized Official - Phone:917-337-7557
Mailing Address - Street 1:18 WARD AVE
Mailing Address - Street 2:
Mailing Address - City:RUMSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07760-1916
Mailing Address - Country:US
Mailing Address - Phone:917-337-7557
Mailing Address - Fax:732-936-9828
Practice Address - Street 1:18 WARD AVE
Practice Address - Street 2:
Practice Address - City:RUMSON
Practice Address - State:NJ
Practice Address - Zip Code:07760-1916
Practice Address - Country:US
Practice Address - Phone:917-337-7557
Practice Address - Fax:732-936-9828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-15
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier