Provider Demographics
NPI:1083098834
Name:MED-ESSENTIALS LLC
Entity Type:Organization
Organization Name:MED-ESSENTIALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-777-4372
Mailing Address - Street 1:3045 SENECA ST
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-2648
Mailing Address - Country:US
Mailing Address - Phone:716-777-4437
Mailing Address - Fax:716-219-8769
Practice Address - Street 1:3045 SENECA ST
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-2648
Practice Address - Country:US
Practice Address - Phone:716-777-4437
Practice Address - Fax:716-219-8769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-10
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies