1598950149 NPI number — DAVID SOBEL LLC

Table of content: (NPI 1598950149)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598950149 NPI number — DAVID SOBEL LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAVID SOBEL LLC
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:
1598950149
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/13/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5 CURRIER WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHESHIRE
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06410-1428
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-271-0053
Provider Business Mailing Address Fax Number:
860-567-1775

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
33 VILLAGE GREEN DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LITCHFIELD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06759-3419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-567-4565
Provider Business Practice Location Address Fax Number:
860-567-1775
Provider Enumeration Date:
09/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SOBEL
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
JAY
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
203-271-0053

Provider Taxonomy Codes

  • Taxonomy code: 152WC0802X , with the licence number:  2016 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152WP0200X , with the licence number: 2016 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152WS0006X , with the licence number: 2016 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152WX0102X , with the licence number: 2016 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152W00000X , with the licence number: 2016 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: CO3321 . This is a "MEDICARE GROUP #" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: CT2016 . This is a "EYE MED VISION CARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: DE2000 . This is a "RAILROAD MEDICARE GROUP#" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 16909 . This is a "SPECTERA/UHS VISION" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 0297031 . This is a "CIGNA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 4063624 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 090002016CT18 . This is a "ANTHEM BC & BS" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 1084515 . This is a "AETNA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 2V5458 . This is a "HEALTHNET" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 713538 . This is a "CONNECTICARE, INC." identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com