Provider Demographics
NPI:1518392372
Name:M.T. BOYLE & COMPANY, INC.
Entity Type:Organization
Organization Name:M.T. BOYLE & COMPANY, INC.
Other - Org Name:SPECIALIZED MEDICAL DEVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:T
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-916-8090
Mailing Address - Street 1:220 N DAVIDSON ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-3703
Mailing Address - Country:US
Mailing Address - Phone:317-916-8090
Mailing Address - Fax:317-916-9555
Practice Address - Street 1:220 N DAVIDSON ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-3703
Practice Address - Country:US
Practice Address - Phone:317-916-8090
Practice Address - Fax:317-916-9555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies