MEDICARE: DIABETES SENTRY PRODUCTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)		WA

General Provider Information

NPI Number	:	1306066907
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIABETES SENTRY PRODUCTS

Provider Business Mailing Address
First Line	:	1200 DUPONT ST
Second Line	:	SUITE 1-D
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-3100
Country	:	US
Telephone Number	:	360-738-1200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 DUPONT ST
Second Line	:	SUITE 1-D
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-3100
Country	:	US
Telephone Number	:	360-738-1200
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. MARVIN MEIER
Credential	:
Telephone Number	:	360-738-1200

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	08/22/2020

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