Provider Demographics
NPI:1598861213
Name:J DAMICO & ASSOCIATES INC.
Entity Type:Organization
Organization Name:J DAMICO & ASSOCIATES INC.
Other - Org Name:JD & ASSOCIATES INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:D'AMICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-234-5553
Mailing Address - Street 1:175 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47807-2616
Mailing Address - Country:US
Mailing Address - Phone:812-234-5553
Mailing Address - Fax:812-238-8313
Practice Address - Street 1:175 CANAL ST
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47807-2616
Practice Address - Country:US
Practice Address - Phone:812-234-5553
Practice Address - Fax:812-238-8313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies