Provider Demographics
NPI:1124503917
Name:SEW HAPPY SURGICAL ASSISTING, LLC
Entity type:Organization
Organization Name:SEW HAPPY SURGICAL ASSISTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MABRY
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:575-313-9456
Mailing Address - Street 1:5885 ALLISON ST UNIT 1029
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80001-2645
Mailing Address - Country:US
Mailing Address - Phone:303-940-1613
Mailing Address - Fax:303-432-2595
Practice Address - Street 1:791 S JELLISON CT
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-4034
Practice Address - Country:US
Practice Address - Phone:575-313-9456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-27
Last Update Date:2018-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty