Provider Demographics
NPI:1871992370
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 1:112 W EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:OWOSSO
Mailing Address - State:MI
Mailing Address - Zip Code:48867-2816
Mailing Address - Country:US
Mailing Address - Phone:989-723-8927
Mailing Address - Fax:989-725-5732
Practice Address - Street 1:410 W M 55
Practice Address - Street 2:
Practice Address - City:TAWAS CITY
Practice Address - State:MI
Practice Address - Zip Code:48763-9239
Practice Address - Country:US
Practice Address - Phone:989-362-7401
Practice Address - Fax:989-362-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies