Healthcare Provider Details

I. General information

NPI: 1154523561
Provider Name (Legal Business Name): DOYLE MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 04/08/2021
Certification Date: 04/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1397 COMMERCE DR SUITE 2
STOW OH
44224-1736
US

IV. Provider business mailing address

1397 COMMERCE DR SUITE 2
STOW OH
44224-1736
US

V. Phone/Fax

Practice location:
  • Phone: 330-436-0048
  • Fax: 330-436-0045
Mailing address:
  • Phone: 330-436-0048
  • Fax: 330-436-0045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. TED JOHN STITZEL
Title or Position: VICE PRESIDENT
Credential:
Phone: 330-436-0048