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NPI Code Detail

MEDICARE: JWM MEDICAL INC

MEDICARE: JWM MEDICAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467479899
Entity Type Code : Organization
Provider Name (Legal Business Name) : JWM MEDICAL INC
Provider Business Mailing Address
First Line : 9727 E SHANNON WOODS CIR
Second Line : SUITE 180
City : WICHITA
State : KS
Zip : 67226-4102
Country : US
Telephone Number : 316-630-8420
Fax Number :
Provider Business Practice Location Address
First Line : 9727 E SHANNON WOODS CIR
Second Line : SUITE 180
City : WICHITA
State : KS
Zip : 67226-4102
Country : US
Telephone Number : 316-630-8420
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. MICHAEL W KNORP
Credential :
Telephone Number : 316-630-8420
Provider Enumeration Date : 07/15/2006
Last Update Date : 03/13/2009

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Directions to “JWM MEDICAL INC ” Practice Location

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