Provider Demographics
NPI:1922294321
Name:SILAS, INC
Entity Type:Organization
Organization Name:SILAS, INC
Other - Org Name:SILAS ELITE PERSONAL TRAINING SERVICES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SILAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-588-0512
Mailing Address - Street 1:35200 DEQUINDRE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4857
Mailing Address - Country:US
Mailing Address - Phone:248-588-0512
Mailing Address - Fax:248-588-0587
Practice Address - Street 1:35200 DEQUINDRE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4857
Practice Address - Country:US
Practice Address - Phone:248-588-0512
Practice Address - Fax:248-588-0587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty