Provider Demographics
NPI:1265265714
Name:JOEMAX HEALTHCARE MEDICAL SUPPLY SERVICES LLC
Entity type:Organization
Organization Name:JOEMAX HEALTHCARE MEDICAL SUPPLY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYENEKWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-771-8172
Mailing Address - Street 1:3535 S WILLINGTON ST STE 104
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603
Mailing Address - Country:US
Mailing Address - Phone:984-232-8285
Mailing Address - Fax:984-232-8286
Practice Address - Street 1:3535 S WILLINGTON ST STE 104
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603
Practice Address - Country:US
Practice Address - Phone:984-232-8285
Practice Address - Fax:984-232-8286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies