Healthcare Provider Details
I. General information
NPI: 1447205208
Provider Name (Legal Business Name): DILLER MEDICAL EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
902 N MAIN ST
BLUFFTON OH
45817-9710
US
IV. Provider business mailing address
902 N MAIN ST
BLUFFTON OH
45817-9710
US
V. Phone/Fax
- Phone: 419-358-2761
- Fax: 419-358-7777
- Phone: 419-358-2761
- Fax: 419-358-7777
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | OH |
VIII. Authorized Official
Name: MRS.
NANCY
DILLER
Title or Position: OWNER
Credential:
Phone: 419-358-2761