Provider Demographics
NPI:1740748342
Name:ATLANTIC DME, LLC
Entity Type:Organization
Organization Name:ATLANTIC DME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ECKERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-209-8755
Mailing Address - Street 1:1201 N ORANGE ST STE 7579
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-1382
Mailing Address - Country:US
Mailing Address - Phone:855-209-8755
Mailing Address - Fax:
Practice Address - Street 1:1201 N ORANGE ST STE 7579
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1382
Practice Address - Country:US
Practice Address - Phone:855-209-8755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies