Provider Demographics
NPI:1699154617
Name:D & J SALES COMPANY, LLC
Entity type:Organization
Organization Name:D & J SALES COMPANY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:LEONA
Authorized Official - Last Name:DEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-470-4010
Mailing Address - Street 1:8 NEWPORT DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-1615
Mailing Address - Country:US
Mailing Address - Phone:410-893-1116
Mailing Address - Fax:410-893-1216
Practice Address - Street 1:10772 HICKORY RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:COLUMIA
Practice Address - State:MD
Practice Address - Zip Code:21044
Practice Address - Country:US
Practice Address - Phone:410-561-6227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12955909335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier