Provider Demographics
NPI:1447290846
Name:STEINBAKES,INC.
Entity type:Organization
Organization Name:STEINBAKES,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HUMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-603-6054
Mailing Address - Street 1:746 BURLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:GIBSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27249-2949
Mailing Address - Country:US
Mailing Address - Phone:336-603-6054
Mailing Address - Fax:336-603-6067
Practice Address - Street 1:746 BURLINGTON AVE
Practice Address - Street 2:
Practice Address - City:GIBSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:27249-2949
Practice Address - Country:US
Practice Address - Phone:336-603-6054
Practice Address - Fax:336-603-6067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1447290846Medicaid
4229380001Medicare NSC