Provider Demographics
NPI:1760154140
Name:THE DOC IN A BOX, LLC
Entity Type:Organization
Organization Name:THE DOC IN A BOX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOIMEICKA
Authorized Official - Middle Name:
Authorized Official - Last Name:WORTHY, APRN, FNP-BC
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:216-403-9332
Mailing Address - Street 1:324 LEDGE RD
Mailing Address - Street 2:
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056-1529
Mailing Address - Country:US
Mailing Address - Phone:216-403-9332
Mailing Address - Fax:
Practice Address - Street 1:324 LEDGE RD
Practice Address - Street 2:
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-1529
Practice Address - Country:US
Practice Address - Phone:216-403-9332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies