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1902996986 NPI number — ONE STOP MEDICAL & DENTAL PRODUCTS, INC

NPI Number: 1902996986
Health Care Provider/Practitioner: ONE STOP MEDICAL & DENTAL PRODUCTS, INC

Information about “1902996986” NPI (ONE STOP MEDICAL & DENTAL PRODUCTS, INC) exists in 1902996986 in HTML format HTML  |  1902996986 in plain Text format TXT  |  1902996986 in PDF (Portable Document Format) PDF  |  1902996986 in an XML format XML  formats.

NPI Number : 1902996986 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902996986",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ONE STOP MEDICAL & DENTAL PRODUCTS, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "13925 W 9 MILE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAK PARK",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48237-2776",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-591-0001",
    "MailingAddressFaxNumber": "248-591-0011",
    "FirstLinePracticeLocationAddress": "13925 W 9 MILE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAK PARK",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48237-2776",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-591-0001",
    "PracticeLocationAddressFaxNumber": "248-591-0011",
    "EnumerationDate": "10/13/2006",
    "LastUpdateDate": "07/14/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SLAN",
    "AuthorizedOfficialFirstName": "WALTER",
    "AuthorizedOfficialMiddleName": "N",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "248-569-5106",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": "332B00000X",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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