Provider Demographics
NPI:1043511884
Name:DORWAY MEDICAL SUPPLY, LLC
Entity Type:Organization
Organization Name:DORWAY MEDICAL SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:DORWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-724-0500
Mailing Address - Street 1:110C POINT WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-4408
Mailing Address - Country:US
Mailing Address - Phone:636-724-0500
Mailing Address - Fax:636-724-0505
Practice Address - Street 1:110C POINT WEST BLVD
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-4408
Practice Address - Country:US
Practice Address - Phone:636-724-0500
Practice Address - Fax:636-724-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies