Provider Demographics
NPI:1336439934
Name:MED PLUS SUPPLY LLC
Entity Type:Organization
Organization Name:MED PLUS SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SCHULZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:440-915-7066
Mailing Address - Street 1:20670 DONEGAL LN
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-0981
Mailing Address - Country:US
Mailing Address - Phone:440-915-7066
Mailing Address - Fax:
Practice Address - Street 1:13477 PROSPECT RD STE 103A
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149-3867
Practice Address - Country:US
Practice Address - Phone:440-915-7066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-15
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies