Dearborn Medical Supplies INC
Prosthetic/Orthotic Supplier in Dearborn, MI. Organization (NPI-2).
NPI number1013964584
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1013964584
- Entity type
- Organization (NPI-2)
- Legal business name
- Dearborn Medical Supplies INC
- Organization subpart
- No
- Enumeration date
- May 28, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 332BP3500X | Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | – | – | |
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | – | – |
Practice location
10645 W Warren AveDearborn, MI 48126-1540
Phone 313-415-4667 · Fax 313-581-8377
Mailing address
10645 W Warren AveDearborn, MI 48126-1540
Phone 313-415-4667 · Fax 313-581-8377
Authorized official
Jim Bouhachem
Ceo
3134154667
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All 8 Prosthetic/Orthotic Supplier providers in Dearborn · All 7,276 providers in Dearborn
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