Provider Demographics
NPI:1710546858
Name:PRECISION DME LLC
Entity Type:Organization
Organization Name:PRECISION DME LLC
Other - Org Name:PRECISION SPINAL CARE INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:PACKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-382-5555
Mailing Address - Street 1:1305 EXECUTIVE BLVD STE 170
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3676
Mailing Address - Country:US
Mailing Address - Phone:757-382-5555
Mailing Address - Fax:
Practice Address - Street 1:1305 EXECUTIVE BLVD STE 170
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3676
Practice Address - Country:US
Practice Address - Phone:757-382-5555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-12
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies