Healthcare Provider Details

I. General information

NPI: 1508411422
Provider Name (Legal Business Name): SBS INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2019
Last Update Date: 08/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3114 FOX RD STE D
JONESBORO AR
72404-9577
US

IV. Provider business mailing address

1702 HAZELWOOD CT
JONESBORO AR
72401-5125
US

V. Phone/Fax

Practice location:
  • Phone: 870-926-2731
  • Fax:
Mailing address:
  • Phone: 870-926-2731
  • Fax: 870-933-9293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name: SHANNON STEELE
Title or Position: BUSINESS OWNER
Credential:
Phone: 870-926-2731