Healthcare Provider Details

I. General information

NPI: 1174011290
Provider Name (Legal Business Name): BROWNS MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2018
Last Update Date: 05/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2136 ROBINSON RD STE 3
JACKSON MI
49203-3558
US

IV. Provider business mailing address

1410 W GANSON ST
JACKSON MI
49202-4063
US

V. Phone/Fax

Practice location:
  • Phone: 517-962-5063
  • Fax:
Mailing address:
  • Phone: 517-789-8980
  • Fax: 517-789-0115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: KIM L SHANKS
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 175-789-8980