Organization
ALL STATE MEDICAL EQUIPMENT & SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHAD KHAN (GENERAL MANAGER)
(313) 583-3933
Entity
Organization
Contact information
Practice address
4700 GREENFIELD RD STE DME, DEARBORN, MI 48126-4124
(313) 583-3933
(313) 583-3934
Mailing address
4700 GREENFIELD RD STE DME, DEARBORN, MI 48126-4124
(313) 583-3933
(313) 583-3934
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
02173R
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548403140 FAO
—
MI
01
—
540E009590
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
04/13/2009
Last updated
04/11/2018
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