Provider Demographics
NPI:1568662294
Name:A SOBEL HEALTHCARE
Entity Type:Organization
Organization Name:A SOBEL HEALTHCARE
Other - Org Name:A. S. HEALTHCARE, SCOTT SOBEL, D.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SOBEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-902-0056
Mailing Address - Street 1:9603 REISTERSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4129
Mailing Address - Country:US
Mailing Address - Phone:410-902-0056
Mailing Address - Fax:410-902-0059
Practice Address - Street 1:9603 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4129
Practice Address - Country:US
Practice Address - Phone:410-902-0056
Practice Address - Fax:410-902-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU61821Medicare UPIN