| Organization Name: | INTEGRA HEALTHCARE EQUIPMENT OF MICHIGAN, LLC |
| NPI Number: | 1326345109 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EITAN SCHECHTER (OWNER) |
| Mailing Address: | 28339 Beck Rd Suite F5 Wixom |
| State: | MI US |
| Postal Code: | 483934753 |
| Phone Number: | 2484651400 |
| Fax Number: | |
| NPI Enumeration Date: | 02/14/2011 |
| NPI Last Update Date: | 10/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |