Organization Name: | WEST MICHIGAN PEDORTHICS MEDICAL SUPPLY LLC |
NPI Number: | 1689713844 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN ROBERT YARRANTON (CEO) |
Mailing Address: | 3324 Glade St Muskegon |
State: | MI US |
Postal Code: | 494442708 |
Phone Number: | 2317394414 |
Fax Number: | 2317391094 |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 06/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |