Provider Demographics
NPI:1134206469
Name:ROWELS ENTERPRISE, LLC
Entity type:Organization
Organization Name:ROWELS ENTERPRISE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:ROWELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-235-7934
Mailing Address - Street 1:1449 MUSKEGON DR
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-7398
Mailing Address - Country:US
Mailing Address - Phone:810-694-1161
Mailing Address - Fax:810-235-8076
Practice Address - Street 1:1079 E BRISTOL RD
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:MI
Practice Address - Zip Code:48529-1126
Practice Address - Country:US
Practice Address - Phone:810-235-7934
Practice Address - Fax:810-235-8076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2701119309332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier