Healthcare Provider Details

I. General information

NPI: 1629022033
Provider Name (Legal Business Name): D & J SALES COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 NEWPORT DR STE A
FOREST HILL MD
21050-1615
US

IV. Provider business mailing address

8 NEWPORT DR STE A
FOREST HILL MD
21050-1615
US

V. Phone/Fax

Practice location:
  • Phone: 410-893-1116
  • Fax: 410-420-2773
Mailing address:
  • Phone: 410-893-1116
  • Fax: 410-420-2773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MS. STEFANIE LEE REINHARDT
Title or Position: COMPLIANCE MANAGER
Credential:
Phone: 410-893-1116