Organization Name: | ONIC MEDICAL SUPPLY, LLC |
NPI Number: | 1902042468 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HENRY C. EJEMOLE (OPS MANAGER) |
Mailing Address: | 9811 Mallard Drive, Suite 117 Laurel |
State: | MD US |
Postal Code: | 20708 |
Phone Number: | 2403916509 |
Fax Number: | 2403916515 |
NPI Enumeration Date: | 01/05/2009 |
NPI Last Update Date: | 07/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | R2672R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |