Provider Demographics
NPI:1245396779
Name:T &T INC
Entity Type:Organization
Organization Name:T &T INC
Other - Org Name:MONTICELLO MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARTER
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:606-348-8948
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:KY
Mailing Address - Zip Code:42633-0609
Mailing Address - Country:US
Mailing Address - Phone:606-348-8948
Mailing Address - Fax:606-340-0738
Practice Address - Street 1:1293 N MAIN ST
Practice Address - Street 2:SUITE 142
Practice Address - City:MONTICELLO
Practice Address - State:KY
Practice Address - Zip Code:42633-1945
Practice Address - Country:US
Practice Address - Phone:606-348-8948
Practice Address - Fax:606-340-0738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90008780Medicaid
KY90008780Medicaid