Provider Demographics
NPI:1528331576
Name:JOINT TECHNOLOGY INC.
Entity type:Organization
Organization Name:JOINT TECHNOLOGY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JADA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-348-6457
Mailing Address - Street 1:919 S BRYANT AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-5743
Mailing Address - Country:US
Mailing Address - Phone:405-348-6457
Mailing Address - Fax:
Practice Address - Street 1:825 PARKWAY ST
Practice Address - Street 2:EXECUPLEX OFFICE CENTER SUITE #7
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-5342
Practice Address - Country:US
Practice Address - Phone:888-673-2613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1121350101Medicare PIN