Provider Demographics
NPI:1851681142
Name:LOEWE MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:LOEWE MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:LOEWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-231-9096
Mailing Address - Street 1:2756 N WAGNER RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-1764
Mailing Address - Country:US
Mailing Address - Phone:248-231-9096
Mailing Address - Fax:743-369-8016
Practice Address - Street 1:2756 N WAGNER RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-1764
Practice Address - Country:US
Practice Address - Phone:248-231-9096
Practice Address - Fax:743-369-8016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies