Organization
INVERSE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHONNIUSS CHEMWENO (CEO)
(505) 389-2279
Entity
Organization
Contact information
Practice address
270 DENTON AVE, NEW HYDE PARK, NY 11040-3424
(212) 261-6542
Mailing address
PO BOX 90056, ALBUQUERQUE, NM 87199-0056
(212) 261-6542
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19121342
—
NM
Enumeration date
01/31/2023
Last updated
01/31/2023
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