Healthcare Provider Details

I. General information

NPI: 1427975945
Provider Name (Legal Business Name): DJ TRADE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E CHARLES ST
OELWEIN IA
50662-1949
US

IV. Provider business mailing address

2434 BERLIN TPKE STE 7
NEWINGTON CT
06111-4102
US

V. Phone/Fax

Practice location:
  • Phone: 226-538-0461
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMAD KHALID
Title or Position: CEO
Credential:
Phone: 226-538-0461