DEARBORN MEDICAL SUPPLIES INC NPI 1013964584

NPI Information

  • NPI: 1013964584
  • Provider Name: DEARBORN MEDICAL SUPPLIES INC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 10645 W WARREN AVE
    DEARBORN, MI
    ZIP 48126
  • Phone: (313) 415-4667

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NPI Details

DEARBORN MEDICAL SUPPLIES INC is a prosthetic orthotic supplier in Dearborn, MI. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. 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 9/11/2025.

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 License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
4332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
5335E00000XProsthetic/Orthotic SupplierYes

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: 11/21/2025

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