Healthcare Provider Details

I. General information

NPI: 1962505982
Provider Name (Legal Business Name): HURLEY-BINSONS MEDICAL EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 09/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9171 LAPEER RD SUITE 200
DAVISON MI
48423-3617
US

IV. Provider business mailing address

G4433 MILLER ROAD
FLINT MI
48507-2969
US

V. Phone/Fax

Practice location:
  • Phone: 810-653-9188
  • Fax: 810-658-2742
Mailing address:
  • Phone: 810-733-0280
  • Fax: 810-720-3835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. PHILIP GERARD THOM
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 810-733-0280