MEDICARE: ZPAP HEALTHCARE SUPPLIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PENDING	OTHER	MI	BLUE CROSS OF MICHIGAN
2	7553570001	OTHER	MI	PTAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568848539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZPAP HEALTHCARE SUPPLIES

Provider Business Mailing Address
First Line	:	1008 N JOHNSON ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-6252
Country	:	US
Telephone Number	:	989-439-1183
Fax Number	:	989-509-6008

Provider Business Practice Location Address
First Line	:	1008 N JOHNSON ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-6252
Country	:	US
Telephone Number	:	989-439-1183
Fax Number	:	989-509-6008

Authorized Official
Title or Position	:	OWNER
Name	:	BLAINE MULL
Credential	:
Telephone Number	:	989-439-1183

Provider Enumeration Date	:	07/31/2015
Last Update Date	:	12/21/2021

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Directions to “ZPAP HEALTHCARE SUPPLIES ” Practice Location

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