Provider Demographics
NPI:1992786511
Name:NUTS INC
Entity type:Organization
Organization Name:NUTS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY VP
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:TONJUK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:417-258-2526
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:MARIONVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65705-0217
Mailing Address - Country:US
Mailing Address - Phone:417-258-2526
Mailing Address - Fax:417-463-2211
Practice Address - Street 1:201 S HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:MARIONVILLE
Practice Address - State:MO
Practice Address - Zip Code:65705-9407
Practice Address - Country:US
Practice Address - Phone:417-258-2526
Practice Address - Fax:417-463-2211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0964120001Medicare ID - Type Unspecified