Provider Demographics
NPI:1134128390
Name:B&D MEDICAL EQUIPMENT & SUPPLIES, INC
Entity Type:Organization
Organization Name:B&D MEDICAL EQUIPMENT & SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:CROSSLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-261-0443
Mailing Address - Street 1:36159 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-1430
Mailing Address - Country:US
Mailing Address - Phone:734-261-0443
Mailing Address - Fax:734-261-8849
Practice Address - Street 1:36159 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-1430
Practice Address - Country:US
Practice Address - Phone:734-261-0443
Practice Address - Fax:734-261-8849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAME0157238332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4744253Medicaid
MI5067860001Medicare NSC