Provider Demographics
NPI:1336464239
Name:NEWBATH CORPORATION
Entity Type:Organization
Organization Name:NEWBATH CORPORATION
Other - Org Name:RE-BATH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-677-8103
Mailing Address - Street 1:7926 OLD SEWARD HWY
Mailing Address - Street 2:STE. A4
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-3161
Mailing Address - Country:US
Mailing Address - Phone:907-677-8103
Mailing Address - Fax:907-677-8109
Practice Address - Street 1:7926 OLD SEWARD HWY
Practice Address - Street 2:STE. A4
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-3161
Practice Address - Country:US
Practice Address - Phone:907-677-8103
Practice Address - Fax:907-677-8109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-02
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3023171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty