Provider Demographics
NPI:1821109067
Name:THE DYAMENT GROUP, INC
Entity Type:Organization
Organization Name:THE DYAMENT GROUP, INC
Other - Org Name:FOOT SOLUTIONS EAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:DYAMENT
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:586-552-3668
Mailing Address - Street 1:21213 HARPER AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-2223
Mailing Address - Country:US
Mailing Address - Phone:586-552-3668
Mailing Address - Fax:586-552-4445
Practice Address - Street 1:21528 HARPER AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-2210
Practice Address - Country:US
Practice Address - Phone:586-552-3668
Practice Address - Fax:586-552-4445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5398620001Medicare ID - Type Unspecified