Healthcare Provider Details

I. General information

NPI: 1073703724
Provider Name (Legal Business Name): SHAN MEDICAL EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 10/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26424 FORD RD
DEARBORN HEIGHTS MI
48127-2884
US

IV. Provider business mailing address

26424 FORD RD
DEARBORN HEIGHTS MI
48127-2884
US

V. Phone/Fax

Practice location:
  • Phone: 313-843-3006
  • Fax: 313-843-9668
Mailing address:
  • Phone: 313-843-3006
  • Fax: 313-843-9668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number540E00688
License Number StateMI

VIII. Authorized Official

Name: DEANA MAJOR
Title or Position: FINANCE MANAGER
Credential:
Phone: 586-268-4100