Healthcare Provider Details

I. General information

NPI: 1780324830
Provider Name (Legal Business Name): FIRST CHOICE ORTHOTICS PROSTHETICS AND DME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 STONEBRIDGE DR BLDG G
FLINT MI
48532-5407
US

IV. Provider business mailing address

2351 STONEBRIDGE DR BLDG G
FLINT MI
48532-5407
US

V. Phone/Fax

Practice location:
  • Phone: 810-282-8323
  • Fax: 810-820-8940
Mailing address:
  • Phone: 810-820-8926
  • Fax: 810-820-8940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JAMAR MARCELL WILLIAMS
Title or Position: OWNER
Credential:
Phone: 810-282-8323