Provider Demographics
NPI:1992467872
Name:ONB MEDS, INC.
Entity Type:Organization
Organization Name:ONB MEDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:ORBIN
Authorized Official - Last Name:IDLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:812-280-7135
Mailing Address - Street 1:207 SPARKS AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-3772
Mailing Address - Country:US
Mailing Address - Phone:812-280-7135
Mailing Address - Fax:812-280-7142
Practice Address - Street 1:207 SPARKS AVE STE 3
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3772
Practice Address - Country:US
Practice Address - Phone:812-280-7135
Practice Address - Fax:812-280-7142
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONB MEDS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-08
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies