Provider Demographics
NPI:1730473489
Name:PAWSABILITIES
Entity Type:Organization
Organization Name:PAWSABILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:MARTYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-898-9117
Mailing Address - Street 1:256 SEASIDE DR
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-2930
Mailing Address - Country:US
Mailing Address - Phone:650-898-9117
Mailing Address - Fax:
Practice Address - Street 1:2505 S RUSSELL ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-7979
Practice Address - Country:US
Practice Address - Phone:406-728-9288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-30
Last Update Date:2011-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment