Provider Demographics
NPI:1821544057
Name:DUNLOP MEDICAL SUPPLIES, LLC
Entity Type:Organization
Organization Name:DUNLOP MEDICAL SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MANOJ
Authorized Official - Middle Name:
Authorized Official - Last Name:RAVINDRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPH
Authorized Official - Phone:931-278-6426
Mailing Address - Street 1:620 DUNLOP LN
Mailing Address - Street 2:SUITE 112
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-5000
Mailing Address - Country:US
Mailing Address - Phone:931-278-6426
Mailing Address - Fax:931-278-6427
Practice Address - Street 1:620 DUNLOP LN
Practice Address - Street 2:SUITE 112
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-5000
Practice Address - Country:US
Practice Address - Phone:931-278-6426
Practice Address - Fax:931-278-6427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies