Provider Demographics
NPI:1780806323
Name:DANKMEYER INC.
Entity type:Organization
Organization Name:DANKMEYER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-636-8114
Mailing Address - Street 1:825D N HAMMONDS FERRY ROAD
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-1355
Mailing Address - Country:US
Mailing Address - Phone:410-636-8114
Mailing Address - Fax:410-636-8114
Practice Address - Street 1:507 NATIONAL HWY STE B
Practice Address - Street 2:
Practice Address - City:LAVALE
Practice Address - State:MD
Practice Address - Zip Code:21502-7015
Practice Address - Country:US
Practice Address - Phone:410-636-8114
Practice Address - Fax:301-777-7010
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DANKMEYER INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-03
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0148053000Medicaid
0234460006Medicare NSC