Provider Demographics
NPI:1982223350
Name:JH MEDICAL SUPPLY, LLC
Entity Type:Organization
Organization Name:JH MEDICAL SUPPLY, LLC
Other - Org Name:JH MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SANG HOON
Authorized Official - Middle Name:
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-973-7115
Mailing Address - Street 1:9025 CHEVROLET DR STE E
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-4029
Mailing Address - Country:US
Mailing Address - Phone:410-973-7115
Mailing Address - Fax:
Practice Address - Street 1:9025 CHEVROLET DR STE E
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-4029
Practice Address - Country:US
Practice Address - Phone:410-973-7115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies