is a Durable Medical Equipment & Medical Supplies in Detroit, Michigan. practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for is 1114978731. The last update date is .
's current location address is Po Box 674553, Detroit, Michigan. You can contact this provider via phone number 7034409320 and fax number 7722124904. The mailing address for is Po Box 674553, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 674553, Detroit, Michigan |
| Phone Number | 7034409320 |
| Fax Number | 7722124904 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1114978731 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 674553 |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482674553 |
| Phone Number | 7034409320 |
| Fax Number | 7722124904 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2917802 | NY | -- | |
| 100259473-00 | NE | -- | |
| 12424900 | MD | -- | |
| 20600937 | IL | -- | |
| 101897930 | PA | -- | |
| 1114978731 | WA | -- | |
| 88905314 | NM | -- | |
| 1114978731 | VA | -- | |
| 55790700 | DC | -- | |
| 1114978731 | IA | -- |
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