Provider Demographics
NPI:1124367487
Name:SEVEN SEAS DISTRIBUTION AND MANUFACTURING
Entity Type:Organization
Organization Name:SEVEN SEAS DISTRIBUTION AND MANUFACTURING
Other - Org Name:NOVATECH MEDICAL DEVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SALES
Authorized Official - Prefix:MR
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-571-1846
Mailing Address - Street 1:2620 S MARYLAND PKWY STE 14
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1692
Mailing Address - Country:US
Mailing Address - Phone:800-571-1846
Mailing Address - Fax:702-974-1651
Practice Address - Street 1:11643 TELEGRAPH RD STE 200
Practice Address - Street 2:
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-3680
Practice Address - Country:US
Practice Address - Phone:800-571-1846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVE05802820109332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies