Provider Demographics
NPI:1124427794
Name:SOBAKS HOME MEDICAL, INC.
Entity type:Organization
Organization Name:SOBAKS HOME MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:SPRINGSDORF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-723-8927
Mailing Address - Street 1:5939 N HURON RD
Mailing Address - Street 2:
Mailing Address - City:OSCODA
Mailing Address - State:MI
Mailing Address - Zip Code:48750-9710
Mailing Address - Country:US
Mailing Address - Phone:989-739-1147
Mailing Address - Fax:989-739-1577
Practice Address - Street 1:5939 N HURON RD
Practice Address - Street 2:
Practice Address - City:OSCODA
Practice Address - State:MI
Practice Address - Zip Code:48750-9710
Practice Address - Country:US
Practice Address - Phone:989-739-1147
Practice Address - Fax:989-739-1577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies