Healthcare Provider Details

I. General information

NPI: 1235163551
Provider Name (Legal Business Name): BEVAL MEDICAL EQUIPMENT & SUPPLIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 04/12/2021
Certification Date: 04/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4307 W 13 MILE RD
ROYAL OAK MI
48073-6504
US

IV. Provider business mailing address

4307 W 13 MILE RD
ROYAL OAK MI
48073-6504
US

V. Phone/Fax

Practice location:
  • Phone: 248-280-1818
  • Fax: 248-786-5362
Mailing address:
  • Phone:
  • Fax: 248-786-5362

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: MR. GREGORY SIGAL
Title or Position: MANAGER
Credential:
Phone: 248-280-1818