Mane Medical Equipment & Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

B- Issued in MI

Legal business name

MANE MEDICAL EQUIPMENT & SUPPLIES, INC.

Practice address

25511 Southfield Rd
Suite 120
Southfield, MI 48075-1856

Phone

(248) 557-2898

Fax

(248) 557-2899

NPI assigned

Mar 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Enene Okon Iban

Title

President and Ceo

Phone

(248) 557-2898

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255391900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25511 SOUTHFIELD RD",
            "address_2": "SUITE 120",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751856",
            "telephone_number": "248-557-2898",
            "fax_number": "248-557-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 SOUTHFIELD RD",
            "address_2": "SUITE 120",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751856",
            "telephone_number": "248-557-2898",
            "fax_number": "248-557-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANE MEDICAL EQUIPMENT & SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "IBAN",
        "authorized_official_first_name": "ENENE",
        "authorized_official_middle_name": "OKON",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "248-557-2898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "B-",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4788015",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pankaj Mamtora, R.P.T.
• Rajendra Kumar Manam, MD
• Amanda Mancino
• Steve P Mandell, MALLP
• Jourdan Manders
• Lauren Mangus
• Beverly Rene Manley
• Nancy Reisman Mann, MD
• Amonie Mannan
• Tracey Manning, M.A. - L.L.P.C

• Durable Medical Equipment & Medical Supplies in Southfield, MI
• Providers in Southfield, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.