Provider Demographics
NPI:1710229620
Name:BEAMM LLC
Entity Type:Organization
Organization Name:BEAMM LLC
Other - Org Name:STOMA STIFLER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-854-4485
Mailing Address - Street 1:145 S LIVERNOIS RD
Mailing Address - Street 2:#242
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1837
Mailing Address - Country:US
Mailing Address - Phone:248-726-9745
Mailing Address - Fax:248-601-2217
Practice Address - Street 1:145 S LIVERNOIS RD
Practice Address - Street 2:#242
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-1837
Practice Address - Country:US
Practice Address - Phone:248-726-9745
Practice Address - Fax:248-601-2217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-19
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies