Provider Demographics
NPI:1033497987
Name:MAYHEW ENTERPRISES, PC
Entity type:Organization
Organization Name:MAYHEW ENTERPRISES, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:MAYHEW
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:810-250-6112
Mailing Address - Street 1:1365 N BELSAY RD
Mailing Address - Street 2:
Mailing Address - City:BURTON
Mailing Address - State:MI
Mailing Address - Zip Code:48509-1602
Mailing Address - Country:US
Mailing Address - Phone:810-250-6112
Mailing Address - Fax:810-250-6113
Practice Address - Street 1:1365 N BELSAY RD
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:MI
Practice Address - Zip Code:48509-1602
Practice Address - Country:US
Practice Address - Phone:810-250-6112
Practice Address - Fax:810-250-6113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty