E-DEE'S PENNYRICH BRA SALON


Address: 8043 Allen Rd, Allen Park, MI 48101-1705
Phone: 3133810810

E-DEE'S PENNYRICH BRA SALON (NPI# 1700043999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700043999
Entity Type Organization
Organization Name E-DEE'S PENNYRICH BRA SALON
Practice Address 8043 Allen Rd
Allen Park
MI 48101-1705
Practice Telephone 3133810810
Mailing Telephone 3133810810
Enumeration Date 2008-05-16
Last Update Date 2008-05-16
Authorized Official Name MRS. EDITH SUPANICH (OWNER)
Authorized Official Telephone 3133833428
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Office Location

Street Address 8043 ALLEN RD
City ALLEN PARK
State MI
Zip Code 48101-1705

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NPI Name Taxonomy Address Enumeration
1184126633 Monica Yalamanchili Physical Therapist 7445 Regina Ave, Allen Park, MI 48101 2018-03-01
1669928685 Saad Khizar Usmani Dentist 6760 Allen Road, Suite 101, Allen Park, MI 48101 2016-08-30
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1841540333 Semaj Amia Dunson Counselor 4485 Willow Cove Blvd, Apt-a2, Allen Park, MI 48101 2012-09-12
1356678866 Stephanie A Rea Family Medicine 8338 Allen Road, Suite 101, Allen Park, MI 48101 2009-11-05
1811133952 John A. Newell Family Medicine 14839 Markese, Allen Park, MI 48101 2008-12-19
1497924203 Kimberly Ann Polchlopek Massage Therapist 7740 Allen Rd, Allek Park, MI 48101 2008-02-26
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578178026 Teter Orthotics & Prosthetics, Inc Prosthetic/Orthotic Supplier 106 S Greenville West Dr Ste 3, Greenville, MI 48838-3504 2020-09-11
1508474297 Brandy Denise Smith-bounds Prosthetic/Orthotic Supplier 41660 Huntington Dr, Sterling Heights, MI 48313-3128 2020-07-19
1912537705 The W Beauty and Barber Lounge Prosthetic/Orthotic Supplier 18718 Grand River Ave, Detroit, MI 48223-2215 2020-01-21
1710520507 Michigan Surgery Specialists, P.C. Prosthetic/Orthotic Supplier 19725 Allen Rd Ste B, Brownstown Twp, MI 48183-1090 2019-10-24
1952962003 Best Choice Senior Services, Inc Prosthetic/Orthotic Supplier 27177 Lahser Rd Ste 206, Southfield, MI 48034-8468 2019-06-27
1124686704 Bionic Prosthetics and Orthotics Group LLC Prosthetic/Orthotic Supplier 2550 Niles Rd Ste 1, Saint Joseph, MI 49085-3270 2019-05-30
1972066348 Jan J Stokosa Prosthetic/Orthotic Supplier 2145 University Park Drive, Suite 100, Okemos, MI 48864 2019-04-11
1306304670 Ddp Mobility and Safety Medical Equipment Prosthetic/Orthotic Supplier 27258 Cecile St, Dearborn Heights, MI 48127-3393 2019-03-06
1538626221 Crossroads Orthotics & Consultation, Inc. Prosthetic/Orthotic Supplier 4025 Holt Rd Ste 110, Holt, MI 48842-6019 2019-02-28
1952886343 Confidence Beyond Hair Loss Prosthetic/Orthotic Supplier 14830 Lakeshore Dr, Grand Haven, MI 49417-8636 2018-10-01
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Competitor

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City ALLEN PARK
Zip Code 48101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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