Provider Demographics
NPI:1568693729
Name:DAVID EPSTEIN, INC.
Entity Type:Organization
Organization Name:DAVID EPSTEIN, INC.
Other - Org Name:BETTERFORM, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-542-0802
Mailing Address - Street 1:1135 E 9 MILE RD
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-1936
Mailing Address - Country:US
Mailing Address - Phone:248-542-0802
Mailing Address - Fax:248-542-1412
Practice Address - Street 1:1135 E 9 MILE RD
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1936
Practice Address - Country:US
Practice Address - Phone:248-542-0802
Practice Address - Fax:248-542-1412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-05
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3988282332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment