Provider Demographics
NPI:1154523561
Name:DOYLE MEDICAL LLC
Entity type:Organization
Organization Name:DOYLE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TED
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:STITZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-436-0048
Mailing Address - Street 1:1397 COMMERCE DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-1736
Mailing Address - Country:US
Mailing Address - Phone:330-436-0048
Mailing Address - Fax:330-436-0045
Practice Address - Street 1:1397 COMMERCE DR
Practice Address - Street 2:SUITE 2
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-1736
Practice Address - Country:US
Practice Address - Phone:330-436-0048
Practice Address - Fax:330-436-0045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH332B00000X
332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition