Provider Demographics
NPI:1376117267
Name:ENTERLOCK CORP
Entity Type:Organization
Organization Name:ENTERLOCK CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-200-9029
Mailing Address - Street 1:675 DEIS DR # 218
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-8136
Mailing Address - Country:US
Mailing Address - Phone:513-200-9029
Mailing Address - Fax:800-385-6901
Practice Address - Street 1:5956 SUNRIDGE DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-4521
Practice Address - Country:US
Practice Address - Phone:513-200-9029
Practice Address - Fax:800-385-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management