Healthcare Provider Details

I. General information

NPI: 1821267691
Provider Name (Legal Business Name): CROWNQUEST INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2008
Last Update Date: 09/09/2020
Certification Date: 09/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 N WALNUT ST # 2
LANSING MI
48933-1124
US

IV. Provider business mailing address

PO BOX 80348
LANSING MI
48908-0348
US

V. Phone/Fax

Practice location:
  • Phone: 517-316-0802
  • Fax: 517-316-0804
Mailing address:
  • Phone: 517-316-0802
  • Fax: 517-316-0804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES MARTELLINI
Title or Position: PRESIDENT/CEO
Credential:
Phone: 517-316-0802