Healthcare Provider Details

I. General information

NPI: 1891988002
Provider Name (Legal Business Name): NEW MIDWEST MEDICAL EQUIPMENT AND SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2007
Last Update Date: 08/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6792 STONEBRIDGE CT
WEST BLOOMFIELD MI
48322-3265
US

IV. Provider business mailing address

6792 STONEBRIDGE CT
WEST BLOOMFIELD MI
48322-3265
US

V. Phone/Fax

Practice location:
  • Phone: 248-569-3134
  • Fax: 248-569-8159
Mailing address:
  • Phone: 248-569-3134
  • Fax: 248-569-8159

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 Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMED REHMAN
Title or Position: PRESIDENT
Credential:
Phone: 248-569-3134