1568611804 NPI number — ABBA MEDICAL SUPPLIES CORPORATION

Table of content: (NPI 1568611804)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568611804 NPI number — ABBA MEDICAL SUPPLIES CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABBA MEDICAL SUPPLIES CORPORATION
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:
1568611804
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/23/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
239 S BRIDGE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ELKTON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21921-5951
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-350-9094
Provider Business Mailing Address Fax Number:
443-350-9092

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
142 W MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELKTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21921-5541
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-485-6804
Provider Business Practice Location Address Fax Number:
443-485-6805
Provider Enumeration Date:
09/11/2008

Additional Information

Authorized Official

Authorized Official Last Name:
ADEJUWON
Authorized Official First Name:
AKINOLA
Authorized Official Middle Name:
HANSON
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
302-478-5294

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  07282649 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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