Healthcare Provider Details

I. General information

NPI: 1356275325
Provider Name (Legal Business Name): EASY STEP MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3304 8TH ST
MERIDIAN MS
39301-4755
US

IV. Provider business mailing address

3304 8TH ST C OFFICE
MERIDIAN MS
39301-4755
US

V. Phone/Fax

Practice location:
  • Phone: 601-207-1091
  • Fax:
Mailing address:
  • Phone: 601-207-1091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: RODERICK DALE
Title or Position: CO
Credential:
Phone: 601-207-1091