Provider Demographics
NPI:1164598413
Name:DEEM MEDICAL SYSTEMS
Entity Type:Organization
Organization Name:DEEM MEDICAL SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:MHOSOWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-234-9922
Mailing Address - Street 1:2616 REDVINE RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034
Mailing Address - Country:US
Mailing Address - Phone:405-234-9922
Mailing Address - Fax:405-553-9928
Practice Address - Street 1:330 N CLASSEN BLVD
Practice Address - Street 2:SUITE 221
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106
Practice Address - Country:US
Practice Address - Phone:405-234-9922
Practice Address - Fax:405-553-9928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5674950001Medicare ID - Type Unspecified