Provider Demographics
NPI:1861643249
Name:MY DOCTOR'S CARE INC
Entity Type:Organization
Organization Name:MY DOCTOR'S CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:RAYMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-522-8840
Mailing Address - Street 1:11240 BELLMAN RD
Mailing Address - Street 2:
Mailing Address - City:GRASS LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49240-9301
Mailing Address - Country:US
Mailing Address - Phone:517-522-8840
Mailing Address - Fax:414-247-9004
Practice Address - Street 1:233 W WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-2219
Practice Address - Country:US
Practice Address - Phone:517-522-8840
Practice Address - Fax:414-247-9004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies