Healthcare Provider Details

I. General information

NPI: 1285165845
Provider Name (Legal Business Name): ASSERTIVE TECH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2017
Last Update Date: 03/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7809 MEANS AVE
NEW ORLEANS LA
70127-1331
US

IV. Provider business mailing address

7809 MEANS AVE
NEW ORLEANS LA
70127-1331
US

V. Phone/Fax

Practice location:
  • Phone: 504-435-6762
  • Fax:
Mailing address:
  • Phone: 504-435-6762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL SEBBLE
Title or Position: REHABILITATION SPECIALIST
Credential: MBA B.S
Phone: 504-435-6762