Organization
INVERSE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHONNIUSS CHEMWENO (CEO/PRESIDENT)
(505) 389-2279
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) 389-2279
(505) 212-0553
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
—
NM
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NM
Other
Enumeration date
07/27/2015
Last updated
06/16/2018
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