Provider Demographics
NPI:1215077276
Name:D & L INCORPORATED
Entity type:Organization
Organization Name:D & L INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-886-2321
Mailing Address - Street 1:171 ABBOTT CREEK RD STE 1
Mailing Address - Street 2:
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653-0171
Mailing Address - Country:US
Mailing Address - Phone:606-886-9845
Mailing Address - Fax:606-886-0834
Practice Address - Street 1:171 ABBOTT CREEK RD STE 1
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-0171
Practice Address - Country:US
Practice Address - Phone:606-886-9845
Practice Address - Fax:606-886-0834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1534341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY56004674Medicaid
KY55036057Medicaid
KY55036057Medicaid