Healthcare Provider Details
I. General information
NPI: 1356916373
Provider Name (Legal Business Name): THE JANZ CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/21/2021
Last Update Date: 07/21/2022
Certification Date: 04/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
MISAWA MAIN EXCHANGE BUILDING 325, MISAWA AIR BASE
HIRAHATA AOMOI PREFECTURE
0330012
JP
IV. Provider business mailing address
275 OUTERBELT ST
COLUMBUS OH
43213-1529
US
V. Phone/Fax
- Phone: 36-868-2395
- Fax: 216-619-8432
- Phone: 614-759-7700
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TONI
ROHRER
Title or Position: BILLING MANAGER
Credential:
Phone: 614-759-7700