Provider Demographics
NPI:1245797646
Name:D B MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:D B MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-808-1651
Mailing Address - Street 1:2601 GENERAL ELECTRIC RD STE 4
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61704-3437
Mailing Address - Country:US
Mailing Address - Phone:309-808-1651
Mailing Address - Fax:
Practice Address - Street 1:2601 GENERAL ELECTRIC RD STE 4
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IL
Practice Address - Zip Code:61704-3437
Practice Address - Country:US
Practice Address - Phone:309-808-1651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies