Organization
DJO, LLC
Active
Organization
DJO, LLC
Active
Parent organization
DJO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DJO, LLC
Authorized official
MS. KIM TYRRELL-KNOTT JD (SVP, CHIEF COMPLIANCE OFFICER)
(866) 356-7846
Entity
Organization
Contact information
Practice address
2020 ELKHART RD STE B, GOSHEN, IN 46526-1100
(574) 208-6702
Mailing address
2020 ELKHART RD STE B, GOSHEN, IN 46526-1100
(574) 208-6702
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/24/2023
Last updated
01/15/2024
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