Organization
TRADE MASTERS INC
Active
Other names
J. P. Wholesale Co.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH R. JAMES (PRESIDENT)
(330) 545-2800
Entity
Organization
Contact information
Practice address
555 CATALINA AVE, YOUNGSTOWN, OH 44504-1411
(330) 746-2537
(330) 744-5127
Mailing address
555 CATALINA AVE, YOUNGSTOWN, OH 44504-1411
(330) 746-2537
(330) 744-5127
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155766
ANTHEM INSURANCE
OH
05
—
007111781
—
PA
05
—
0682499
—
OH
Enumeration date
11/18/2005
Last updated
09/20/2011
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