Organization
BECKER ORTHOPEDIC APPLIANCE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PIGGOTT (BUSINESS MANAGER)
(248) 588-7480
Entity
Organization
Contact information
Practice address
28801 WOODWARD AVE, BERKLEY, MI 48072-0915
(248) 399-0030
(248) 399-0031
Mailing address
635 EXECUTIVE DR, TROY, MI 48083-4536
(248) 588-7480
(248) 588-6961
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4370215
—
MI
Enumeration date
05/24/2005
Last updated
04/02/2015
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