Organization
DURALINE MEDICAL PRODUCTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY JO PECK (GENERAL MANAGER)
(419) 943-2044
Entity
Organization
Contact information
Practice address
324 WERNER ST, LEIPSIC, OH 45856-1039
(419) 943-2044
(419) 943-3637
Mailing address
PO BOX 67, LEIPSIC, OH 45856-0067
(419) 943-2044
(419) 943-3637
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
69010053
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208608
—
OH
Enumeration date
04/11/2006
Last updated
08/22/2020
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