Provider Demographics
NPI:1629157201
Name:DOYLE RESPIRATORY LLC
Entity Type:Organization
Organization Name:DOYLE RESPIRATORY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:401-725-1100
Mailing Address - Street 1:172 ARMISTICE BLVD
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-3219
Mailing Address - Country:US
Mailing Address - Phone:401-725-1100
Mailing Address - Fax:401-725-1120
Practice Address - Street 1:172 ARMISTICE BLVD
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-3219
Practice Address - Country:US
Practice Address - Phone:401-725-1100
Practice Address - Fax:401-725-1120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9790001Medicaid
RI324087OtherRHODE ISLAND BLUE CROSS
5809790001Medicare NSC