Organization
INVERSE MEDICAL, LLC
Active
Organization
INVERSE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHONNIUSS CHEMWENO (CEO/PRESIDENT)
(505) 816-8014
Entity
Organization
Contact information
Practice address
4904 ALAMEDA BLVD NE STE B, ALBUQUERQUE, NM 87113-2385
(505) 389-2279
(505) 212-0553
Mailing address
PO BOX 90056, ALBUQUERQUE, NM 87199-0056
(505) 816-8014
(505) 212-0553
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
—
—
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19121342
—
NM
Enumeration date
06/03/2016
Last updated
01/31/2023
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