DEARBORN MEDICAL SUPPLIES INC NPI 1013964584

NPI Information

NPI: 1013964584
Provider Name: DEARBORN MEDICAL SUPPLIES INC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
10645 W WARREN AVE
DEARBORN, MI
ZIP 48126
Phone: (313) 415-4667
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DEARBORN MEDICAL SUPPLIES INC is a customized equipment durable medical equipment medical supplies in Dearborn, MI. DEARBORN MEDICAL SUPPLIES INC NPI is 1013964584. The provider is registered as an organization entity type.

The provider's business location address is:

10645 W WARREN AVE
DEARBORN, MI
ZIP 48126-540
Phone: (313) 415-4667
Fax: (313) 581-8377

The provider's authorized official is Jim Bouhachem .
The authorized official title is Ceo and has the following contact phone number (313) 415-4667.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	Yes
2	332B00000X	Durable Medical Equipment & Medical Supplies		X
3	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	X
4	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	X
5	335E00000X	Prosthetic/Orthotic Supplier		X

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: 4/28/2024

NPI Synchronization or Removal

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