Healthcare Provider Details

I. General information

NPI: 1336412550
Provider Name (Legal Business Name): MY SOLUTION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2012
Last Update Date: 10/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6204 MIDDLEBELT RD
GARDEN CITY MI
48135-2409
US

IV. Provider business mailing address

6204 MIDDLEBELT RD
GARDEN CITY MI
48135-2409
US

V. Phone/Fax

Practice location:
  • Phone: 734-552-6533
  • Fax:
Mailing address:
  • Phone: 734-552-6533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5315053929
License Number StateMI

VIII. Authorized Official

Name: KENECHUKWU MONPLAISIR
Title or Position: PRESIDENT/CEO
Credential:
Phone: 734-552-6533