Provider Demographics
NPI:1962539429
Name:D & V LLC
Entity type:Organization
Organization Name:D & V LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DMITRIY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOROTOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-464-5433
Mailing Address - Street 1:9998 GLOBAL RD
Mailing Address - Street 2:SUITE #37
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-1010
Mailing Address - Country:US
Mailing Address - Phone:215-464-5433
Mailing Address - Fax:215-464-2610
Practice Address - Street 1:9998 GLOBAL RD
Practice Address - Street 2:SUITE #37
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-1010
Practice Address - Country:US
Practice Address - Phone:215-464-5433
Practice Address - Fax:215-464-2610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA040883416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA35138OtherSENIOR PARTNERS
PA52857OtherELDER HEALTH
PA35138OtherHEALTH PARTNERS
PA3699772OtherAETNA
PAP00228042OtherMEDICARE RAIL ROAD
PA1011524760001Medicaid
PA30019372OtherKEYSTONE MERCY
PA8100459OtherEVERCARE
PAQ54652OtherICHP
PA0007162000OtherIBC
PA=========OtherCIGNA
PAQ54652OtherICHP
PAQ54652OtherICHP