Provider Demographics
NPI:1932208725
Name:C & I-BETA MEDICAL EQUIPMENT & SUPPLY
Entity type:Organization
Organization Name:C & I-BETA MEDICAL EQUIPMENT & SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MR
Authorized Official - First Name:CHIGBO
Authorized Official - Middle Name:C
Authorized Official - Last Name:EMOKAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-437-3112
Mailing Address - Street 1:24821 5 MILE RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3695
Mailing Address - Country:US
Mailing Address - Phone:734-437-3112
Mailing Address - Fax:734-437-3115
Practice Address - Street 1:24821 5 MILE RD
Practice Address - Street 2:SUITE #1
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3695
Practice Address - Country:US
Practice Address - Phone:734-437-3112
Practice Address - Fax:734-437-3115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies