Provider Demographics
NPI:1427614627
Name:DR. JOHN'S MEDICAL SOLUTIONS, INC.
Entity type:Organization
Organization Name:DR. JOHN'S MEDICAL SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:KELLENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-370-3111
Mailing Address - Street 1:315 SPRINGHOUSE CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5834
Mailing Address - Country:US
Mailing Address - Phone:615-791-6247
Mailing Address - Fax:615-794-9792
Practice Address - Street 1:1840 W 48TH ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806-4642
Practice Address - Country:US
Practice Address - Phone:563-370-3111
Practice Address - Fax:563-748-2551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies