Ebenezer Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EBENEZER SUPPLIES INC

Practice address

2924 Knight St Ste 412
Shreveport, LA 71105-2413

Phone

(318) 868-1349

Fax

(318) 868-1350

NPI assigned

Jul 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Godwin O Enyong Jr., INC.

Title

President

Phone

(318) 868-1349

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1407019227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 KNIGHT ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052413",
            "telephone_number": "318-868-1349",
            "fax_number": "318-868-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 KNIGHT ST STE 412",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052413",
            "telephone_number": "318-868-1349",
            "fax_number": "318-868-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "ENYONG",
        "authorized_official_first_name": "GODWIN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-868-1349",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "INC."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Eaves II, MD
• Andrea Ebarb
• Chris Ebarb, RN
• Wren Ebarb
• Madison Eben, COMS
• Eberhardt Physical Therapy & Wellness Clinic, Inc.
• Terry L Eberhardt, PT
• Allyson Ebey, LPC, CFRC
• Amira Grace Ebong, DPT
• Tiffany Echols

• Durable Medical Equipment & Medical Supplies in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.