Healthcare Provider Details

I. General information

NPI: 1922634583
Provider Name (Legal Business Name): DIGITAL THERAPEUTICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2020
Last Update Date: 03/16/2020
Certification Date: 03/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PS.03 THIRD FLOOR, 8-14 VERULAM ST, HOLBORN
LONDON GREATER LONDON
WC1X 8LZ
GB

IV. Provider business mailing address

PS.03 THIRD FLOOR, 8-14 VERULAM ST, HOLBORN
LONDON GREATER LONDON
WC1X 8LZ
GB

V. Phone/Fax

Practice location:
  • Phone: 559-717-4312
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: MR. SEBASTIAN FYNN AGERTOFT
Title or Position: SENIOR PRODUCT MANAGER
Credential:
Phone: 559-717-4312