MEDICARE: D & L MEDICAL SUPPLIES

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	33320	OTHER	IA	BLUE CROSS PROVIDER

General Provider Information

NPI Number	:	1518943935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D & L MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	1239 73RD ST
Second Line	:	SUITE G
City	:	WINDSOR HEIGHTS
State	:	IA
Zip	:	50311-1339
Country	:	US
Telephone Number	:	515-256-9006
Fax Number	:	515-285-9247

Provider Business Practice Location Address
First Line	:	1239 73RD ST
Second Line	:	SUITE G
City	:	WINDSOR HEIGHTS
State	:	IA
Zip	:	50311-1339
Country	:	US
Telephone Number	:	515-256-9006
Fax Number	:	515-285-9247

Authorized Official
Title or Position	:	OWNER
Name	:	MR. LES CHALFIN
Credential	:	C.PED., RFO
Telephone Number	:	515-256-9006

Provider Enumeration Date	:	12/17/2005
Last Update Date	:	06/10/2008

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Directions to “D & L MEDICAL SUPPLIES ” Practice Location

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