1922538388 NPI number — SOT ENTERPRISES INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922538388 NPI number — SOT ENTERPRISES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOT ENTERPRISES 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:
Provider Other Organization Name Type Code:
6
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:
1922538388
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/18/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 398
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BENNETTSVILLE
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29512-0398
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-439-6247
Provider Business Mailing Address Fax Number:
843-535-5799

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
105 CHERAW ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BENNETTSVILLE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29512-3001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-479-0059
Provider Business Practice Location Address Fax Number:
843-535-5799
Provider Enumeration Date:
06/18/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MCCLAIN
Authorized Official First Name:
NATASHA
Authorized Official Middle Name:
LASHOY
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
843-506-1737

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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