Healthcare Provider Details

I. General information

NPI: 1447050703
Provider Name (Legal Business Name): MJS MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 03/17/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21597 INKSTER RD BROWNSTOWN
TOWNSHIP MI
48193
US

IV. Provider business mailing address

21597 INKSTER RD BROWNSTOWN
TOWNSHIP MI
48193
US

V. Phone/Fax

Practice location:
  • Phone: 409-941-7264
  • Fax:
Mailing address:
  • Phone: 409-941-7264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ZAFAR IQBAL
Title or Position: DIRECTOR
Credential:
Phone: 409-941-7264