Provider Demographics
NPI:1295571370
Name:CONNECT MEDICAL BILLING LLC
Entity type:Organization
Organization Name:CONNECT MEDICAL BILLING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JONTAE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-650-7111
Mailing Address - Street 1:11113 REYNOLDS ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68142-1819
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11113 REYNOLDS ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68142-1819
Practice Address - Country:US
Practice Address - Phone:402-650-7111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty