Provider Demographics
NPI:1114935558
Name:D-MAN COMPANY INC.
Entity Type:Organization
Organization Name:D-MAN COMPANY INC.
Other - Org Name:MODERN MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-437-2501
Mailing Address - Street 1:585 S BIRDNECK RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-5898
Mailing Address - Country:US
Mailing Address - Phone:757-437-2501
Mailing Address - Fax:757-437-2503
Practice Address - Street 1:585 S BIRDNECK RD
Practice Address - Street 2:SUITE 106
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-5898
Practice Address - Country:US
Practice Address - Phone:757-437-2501
Practice Address - Fax:757-437-2503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2006-195711-R332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5756340001Medicare NSC