Healthcare Provider Details
I. General information
NPI: 1134206469
Provider Name (Legal Business Name): ROWELS ENTERPRISE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1079 E BRISTOL RD
BURTON MI
48529-1126
US
IV. Provider business mailing address
1449 MUSKEGON DR
GRAND BLANC MI
48439-7398
US
V. Phone/Fax
- Phone: 810-235-7934
- Fax: 810-235-8076
- Phone: 810-694-1161
- Fax: 810-235-8076
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 2701119309 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | 2701119309 |
| License Number State | MI |
VIII. Authorized Official
Name:
KAREN
YVETTE
ROWELS
Title or Position: OWNER OPERATOR
Credential:
Phone: 810-235-7934