Provider Demographics
NPI:1730403809
Name:DURABLE MEDICAL SOLUTIONS
Entity type:Organization
Organization Name:DURABLE MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-632-4852
Mailing Address - Street 1:11750 HIGHLAND RD
Mailing Address - Street 2:STE 130
Mailing Address - City:HARTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48353-2734
Mailing Address - Country:US
Mailing Address - Phone:810-632-4852
Mailing Address - Fax:810-632-4853
Practice Address - Street 1:11750 HIGHLAND RD
Practice Address - Street 2:STE 130
Practice Address - City:HARTLAND
Practice Address - State:MI
Practice Address - Zip Code:48353-2734
Practice Address - Country:US
Practice Address - Phone:810-632-4852
Practice Address - Fax:810-632-4853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MID38545332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies