Provider Demographics
NPI:1558484485
Name:Y B & E MEDICAL SUPPLY OF MICHIGAN, MI
Entity Type:Organization
Organization Name:Y B & E MEDICAL SUPPLY OF MICHIGAN, MI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-728-3737
Mailing Address - Street 1:1802 EUTAW PL
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21217-3805
Mailing Address - Country:US
Mailing Address - Phone:410-728-3737
Mailing Address - Fax:410-728-8915
Practice Address - Street 1:1802 EUTAW PL
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217-3805
Practice Address - Country:US
Practice Address - Phone:410-728-3737
Practice Address - Fax:410-728-8915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies