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TIMOTHY DOSTALL OD NPI 1578735189


NPI Information

NPI: 1578735189
Provider Name: TIMOTHY DOSTALL OD
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
411 EAST AVE
ELYRIA, OH
ZIP 44035
Phone: (440) 323-5709
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TIMOTHY DOSTALL OD is a durable medical equipment medical supplies in Elyria, OH. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. TIMOTHY DOSTALL OD NPI is 1578735189. The provider is registered as an organization entity type.

The provider's business location address is:

411 EAST AVE
ELYRIA, OH
ZIP 44035-717
Phone: (440) 323-5709

The provider's authorized official is Timothy Robert Dostall .
The authorized official title is Owner and has the following contact phone number (440) 323-5709.

The enumeration date for this NPI number is 3/25/2008 and was last updated on 3/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies3387T414OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10462495MEDICAIDOHIO
20493822MEDICARE PINOHIO
30169630001MEDICARE NSCOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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