Provider Demographics
NPI:1598902124
Name:OASIS HYPERBARICS, LLC
Entity Type:Organization
Organization Name:OASIS HYPERBARICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:STEWART
Authorized Official - Last Name:BRITTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-654-7337
Mailing Address - Street 1:1156 BOWMAN RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3803
Mailing Address - Country:US
Mailing Address - Phone:843-654-7337
Mailing Address - Fax:843-654-7336
Practice Address - Street 1:1156 BOWMAN RD
Practice Address - Street 2:SUITE 103
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3803
Practice Address - Country:US
Practice Address - Phone:843-654-7337
Practice Address - Fax:843-654-7336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-20
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC9175Medicare UPIN