Organization
UBN CORPORATION
Active
Other names
NORTHWEST MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASIL N UBANWA N/A (PRESIDENT)
(219) 756-6607
Entity
Organization
Contact information
Practice address
100 W 79TH AVE, MERRILLVILLE, IN 46410-5439
(219) 756-6607
(219) 756-6627
Mailing address
100 W 79TH AVE, MERRILLVILLE, IN 46410-5439
(219) 756-6607
(219) 756-6627
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
48001521A
IN
Other
Enumeration date
11/29/2005
Last updated
08/22/2020
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