National Provider Identifier Database

TRISTATE MEDICAL SUPPLY LLC
Oxygen Equipment & Supplies


Contact Information

TRISTATE MEDICAL SUPPLY, L.L.C.
2253 THIRD AVE STE 1
DOTHAN, AL36301
Phone: 334-886-9111
Fax: 334-323-7303
Website:
Specialty Taxonomy Code
* Oxygen Equipment & Supplies 332BX2000X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for TRISTATE MEDICAL SUPPLY, L.L.C.

NPI Number 1407908437
Legal business name
LBN
TRISTATE MEDICAL SUPPLY, L.L.C.
Authorized official DEBRA CASEY - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/18/2007
Last updated 03/26/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers
  • AL License #: 786
  • AL Medicaid: 106600

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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