Provider Demographics
NPI:1841473386
Name:DAVID TERRY ENTERPRISES, LLC.
Entity type:Organization
Organization Name:DAVID TERRY ENTERPRISES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:TERRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-267-3620
Mailing Address - Street 1:1618 CANTEBURY LN
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-8678
Mailing Address - Country:US
Mailing Address - Phone:513-267-3620
Mailing Address - Fax:866-485-9224
Practice Address - Street 1:1618 CANTEBURY LN
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-8678
Practice Address - Country:US
Practice Address - Phone:513-267-3620
Practice Address - Fax:866-485-9224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies