MEDICARE: JONOTT ENTERPRISE

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1437489721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JONOTT ENTERPRISE

Provider Business Mailing Address
First Line	:	1001 WELCH RD
Second Line	:	SUITE 104
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48390-2864
Country	:	US
Telephone Number	:	248-669-3200
Fax Number	:	248-669-3201

Provider Business Practice Location Address
First Line	:	1001 WELCH RD
Second Line	:	SUITE 104
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48390-2864
Country	:	US
Telephone Number	:	248-669-3200
Fax Number	:	248-669-3201

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. TAMARA JOHNSON
Credential	:
Telephone Number	:	248-669-3200

Provider Enumeration Date	:	01/08/2010
Last Update Date	:	05/23/2013

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Directions to “JONOTT ENTERPRISE ” Practice Location

Language	Start Address	Practice Location

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