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NPI Code Detail

MEDICARE: SOBAKS HOME MEDICAL, INC.

MEDICARE: SOBAKS HOME MEDICAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BX2000XOxygen Equipment & Supplies (DME)

General Provider Information

NPI Number : 1124427794
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOBAKS HOME MEDICAL, INC.
Provider Business Mailing Address
First Line : 5939 N HURON RD
Second Line :
City : OSCODA
State : MI
Zip : 48750-9710
Country : US
Telephone Number : 989-739-1147
Fax Number : 989-739-1577
Provider Business Practice Location Address
First Line : 5939 N HURON RD
Second Line :
City : OSCODA
State : MI
Zip : 48750-9710
Country : US
Telephone Number : 989-739-1147
Fax Number : 989-739-1577
Authorized Official
Title or Position : EXECUTIVE OFFICER
Name : MR. BRIAN DOUGLAS SPRINGSDORF
Credential :
Telephone Number : 989-723-8927
Provider Enumeration Date : 08/19/2014
Last Update Date : 08/19/2014

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Directions to “SOBAKS HOME MEDICAL, INC. ” Practice Location

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