Provider Demographics
NPI:1558551788
Name:STERLING ADAPTIVES
Entity Type:Organization
Organization Name:STERLING ADAPTIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GIBBONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-878-2922
Mailing Address - Street 1:7665 REDWOOD BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94945-1422
Mailing Address - Country:US
Mailing Address - Phone:415-878-2922
Mailing Address - Fax:415-878-2989
Practice Address - Street 1:7665 REDWOOD BLVD STE 100
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-1422
Practice Address - Country:US
Practice Address - Phone:415-878-2922
Practice Address - Fax:415-878-2989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies