Provider Demographics
NPI:1326333576
Name:MCMAHON &SALES ASSOCIATES, LLC.
Entity Type:Organization
Organization Name:MCMAHON &SALES ASSOCIATES, LLC.
Other - Org Name:MCMAHON & SALES ASSOCIATES, LLC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:248-496-0888
Mailing Address - Street 1:4139 W. WALTON BLVD
Mailing Address - Street 2:SUITE C-2
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48329-4188
Mailing Address - Country:US
Mailing Address - Phone:248-496-0888
Mailing Address - Fax:248-630-8906
Practice Address - Street 1:4139 W WALTON BLVD
Practice Address - Street 2:SUITE C-2
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48329-4188
Practice Address - Country:US
Practice Address - Phone:248-496-0888
Practice Address - Fax:248-630-8906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies