MEDICARE: NORTHSTAR HOME MEDICAL EQUIPMENT INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	42533D	MI

General Provider Information

NPI Number	:	1114099397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHSTAR HOME MEDICAL EQUIPMENT INC.

Provider Business Mailing Address
First Line	:	6100 DOROTHY ST # 203
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48211-1566
Country	:	US
Telephone Number	:	313-267-0103
Fax Number	:	313-267-1190

Provider Business Practice Location Address
First Line	:	6100 DOROTHY ST # 203
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48211-1566
Country	:	US
Telephone Number	:	313-267-0103
Fax Number	:	313-267-1190

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MUHAMMAD HAROON SYED
Credential	:
Telephone Number	:	313-267-0103

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	08/22/2020

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