Provider Demographics
NPI:1073737219
Name:WHAT A PAIR LLC
Entity Type:Organization
Organization Name:WHAT A PAIR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:INGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-593-9600
Mailing Address - Street 1:523 N OLD WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-5376
Mailing Address - Country:US
Mailing Address - Phone:248-593-9600
Mailing Address - Fax:248-593-9669
Practice Address - Street 1:523 N OLD WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-5376
Practice Address - Country:US
Practice Address - Phone:248-593-9600
Practice Address - Fax:248-593-9669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI=========OtherTAX ID NUMBER
MI5503340001Medicare ID - Type UnspecifiedMEDICARE MI