Provider Demographics
NPI:1578573663
Name:ADVANCE MEDICAL EQUIPMENT & SUPPLY INC.
Entity Type:Organization
Organization Name:ADVANCE MEDICAL EQUIPMENT & SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:ADIGWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-967-8901
Mailing Address - Street 1:21700 GREENFIELD RD
Mailing Address - Street 2:SUITE 262
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2581
Mailing Address - Country:US
Mailing Address - Phone:248-967-8901
Mailing Address - Fax:248-967-8902
Practice Address - Street 1:21700 GREENFIELD RD
Practice Address - Street 2:SUITE 262
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2581
Practice Address - Country:US
Practice Address - Phone:248-967-8901
Practice Address - Fax:248-967-8902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies