Provider Demographics
NPI:1528120474
Name:BIO DYNAMICS HEALTHCARE SOLUTIONS LLC
Entity type:Organization
Organization Name:BIO DYNAMICS HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:HESLOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-519-1211
Mailing Address - Street 1:1895 S HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-2372
Mailing Address - Country:US
Mailing Address - Phone:614-519-1211
Mailing Address - Fax:614-586-1820
Practice Address - Street 1:1895 S HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-2372
Practice Address - Country:US
Practice Address - Phone:614-519-1211
Practice Address - Fax:614-586-1820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH25307433332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH5580530001Medicare ID - Type Unspecified