Provider Demographics
NPI:1982258224
Name:DOYLE MEDICAL LLC
Entity Type:Organization
Organization Name:DOYLE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BRANCH MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:GLENNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-321-3508
Mailing Address - Street 1:1397 COMMERCE DR STE 2
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-1736
Mailing Address - Country:US
Mailing Address - Phone:866-321-3508
Mailing Address - Fax:866-299-2017
Practice Address - Street 1:1397 COMMERCE DR STE 2
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-1736
Practice Address - Country:US
Practice Address - Phone:866-321-3508
Practice Address - Fax:866-299-2017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100218960Medicaid