Provider Demographics
NPI:1992273312
Name:THERAMED EQUIPMENT AND SUPPLIES LLC
Entity type:Organization
Organization Name:THERAMED EQUIPMENT AND SUPPLIES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNEKACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:984-200-4002
Mailing Address - Street 1:5710 CAPITAL BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-3384
Mailing Address - Country:US
Mailing Address - Phone:984-200-4002
Mailing Address - Fax:919-266-4228
Practice Address - Street 1:5710 CAPITAL BLVD STE A
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-3384
Practice Address - Country:US
Practice Address - Phone:984-200-4002
Practice Address - Fax:919-266-4228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-03
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies