1346381852 NPI number — SAB GROUP INC.

Table of content: (NPI 1346381852)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346381852 NPI number — SAB GROUP INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAB GROUP INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SAB MEDICAL SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346381852
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
55 ADDIS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHURCHVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18966-1167
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
267-250-0953
Provider Business Mailing Address Fax Number:
215-942-0862

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
55 ADDIS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHURCHVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18966-1167
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
267-250-0953
Provider Business Practice Location Address Fax Number:
215-942-0862
Provider Enumeration Date:
02/08/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SKULSKY
Authorized Official First Name:
ALEX
Authorized Official Middle Name:
Authorized Official Title or Position:
SECRETARY
Authorized Official Telephone Number:
267-250-0953

Provider Taxonomy Codes

  • Taxonomy code: 246XS1301X , with the licence number:  42530 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)