Healthcare Provider Details
I. General information
NPI: 1205442738
Provider Name (Legal Business Name): THE JANZ CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2020
Last Update Date: 02/16/2022
Certification Date: 02/16/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
U.S NAVAL BASE NEX 700 NAVY EXCHANGE ROAD BUILDING 258
SANTA RITA GUAM
96915
AX
IV. Provider business mailing address
275 OUTERBELT ST
COLUMBUS OH
43213-1529
US
V. Phone/Fax
- Phone: 614-759-7700
- Fax:
- 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:
GREG
FINSTERBUSCH
Title or Position: MANAGER
Credential:
Phone: 614-759-7700