Provider Demographics
NPI:1568848539
Name:ZPAP HEALTHCARE SUPPLIES
Entity Type:Organization
Organization Name:ZPAP HEALTHCARE SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BLAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MULL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-439-1183
Mailing Address - Street 1:1008 N JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-6252
Mailing Address - Country:US
Mailing Address - Phone:989-439-1183
Mailing Address - Fax:989-509-6008
Practice Address - Street 1:1008 N JOHNSON ST
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-6252
Practice Address - Country:US
Practice Address - Phone:989-439-1183
Practice Address - Fax:989-509-6008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-31
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIPENDINGOtherBLUE CROSS OF MICHIGAN
MI7553570001OtherPTAN
MIPENDINGMedicaid