Provider Demographics
NPI:1205967304
Name:DEBORAH D'ARCY, LLC
Entity type:Organization
Organization Name:DEBORAH D'ARCY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DISPENSER OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:D'ARCY
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING PRACTITIONER
Authorized Official - Phone:614-577-9180
Mailing Address - Street 1:6018 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-3355
Mailing Address - Country:US
Mailing Address - Phone:614-577-9180
Mailing Address - Fax:614-577-9185
Practice Address - Street 1:6018 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-3355
Practice Address - Country:US
Practice Address - Phone:614-577-9180
Practice Address - Fax:614-577-9185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02678332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment