Provider Demographics
NPI:1346214590
Name:MEDICAL SALES GROUP INC
Entity Type:Organization
Organization Name:MEDICAL SALES GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:MEINEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-298-3560
Mailing Address - Street 1:3230 WOODMAN DR
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45420-1154
Mailing Address - Country:US
Mailing Address - Phone:937-298-3560
Mailing Address - Fax:937-298-3278
Practice Address - Street 1:3230 WOODMAN DR
Practice Address - Street 2:SUITE 2B
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45420-1154
Practice Address - Country:US
Practice Address - Phone:937-298-3278
Practice Address - Fax:937-298-3278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2342638Medicaid