Organization Name: | CLAWSON FOOTCARE SPECIALISTS PC |
NPI Number: | 1215029418 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN E HOMER (OWNER) |
Mailing Address: | 615 W 14 Mile Rd Clawson |
State: | MI US |
Postal Code: | 480171901 |
Phone Number: | 2482888900 |
Fax Number: | 2482888989 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 11/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 5901001699 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |