1497244958 NPI number — SAVANNAH ORTHOPAEDIC & SPINE INSTITUTE

Table of content: DR. MICHAEL A. SCHWAB D.D.S. (NPI 1962514281)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497244958 NPI number — SAVANNAH ORTHOPAEDIC & SPINE INSTITUTE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAVANNAH ORTHOPAEDIC & SPINE INSTITUTE
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:
Provider Other Organization Name Type Code:
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:
1497244958
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/09/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8925 SE BRIDGE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOBE SOUND
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33455-5312
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
772-245-8397
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7205 HODGSON MEMORIAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAVANNAH
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31406-2511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-344-5562
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/09/2018

Additional Information

Authorized Official

Authorized Official Last Name:
WAKULA
Authorized Official First Name:
JENEANE
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
772-263-1642

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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