Provider Demographics
NPI:1174108336
Name:E-QUIP INC
Entity type:Organization
Organization Name:E-QUIP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARVELOUS
Authorized Official - Middle Name:
Authorized Official - Last Name:SMART
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:225-571-5843
Mailing Address - Street 1:4445 W 77TH ST STE 232
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5190
Mailing Address - Country:US
Mailing Address - Phone:225-571-5843
Mailing Address - Fax:
Practice Address - Street 1:4445 W 77TH ST STE 232
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5190
Practice Address - Country:US
Practice Address - Phone:225-571-5843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies