Organization
ESONET MEDICAL EQUIPMENT & MEDICAL SUPPLIES, INC.
Active
Other names
ESONET MEDICAL EQUIPMENT & SUPPLIES, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMEON OKPAKO EGHWOFOBE SR. DMEPOS PROVIDER (PRESIDENT)
(248) 423-1243
Entity
Organization
Contact information
Practice address
19111 W 10 MILE RD STE 232, SOUTHFIELD, MI 48075-2472
(248) 423-1243
(248) 423-1244
Mailing address
19111 W 10 MILE RD STE 232, SOUTHFIELD, MI 48075-2472
(248) 423-1243
(248) 423-1244
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
B
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4820060
—
MI
01
—
BCBS: 540F329810
DURABLE MEDICAL EQUIPMENT
MI
Enumeration date
07/05/2006
Last updated
07/21/2022
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