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MACOMB PRIMARY CARE P.C NPI 1639689854


NPI Information

NPI: 1639689854
Provider Name: MACOMB PRIMARY CARE, P.C
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
851 SOUTH MAIN STREET
SUITE #3
PLYMOUTH, MI
ZIP 48170
Phone: (734) 354-0020
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MACOMB PRIMARY CARE, P.C is a durable medical equipment medical supplies in Plymouth, MI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MACOMB PRIMARY CARE, P.C NPI is 1639689854. The provider is registered as an organization entity type.

The provider's business location address is:

851 SOUTH MAIN STREET
SUITE #3
PLYMOUTH, MI
ZIP 48170
Phone: (734) 354-0020
Fax: (586) 323-0341

The provider's authorized official is Chadi H Mansour .
The authorized official title is Owner/president and has the following contact phone number (586) 323-0301.

The enumeration date for this NPI number is 10/2/2017 and was last updated on 10/2/2017.


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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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: 5/5/2024

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