Provider Demographics
NPI:1770135709
Name:DABCI MARKET SHARE, LLC
Entity type:Organization
Organization Name:DABCI MARKET SHARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PINC
Authorized Official - Middle Name:NATIONWIDE
Authorized Official - Last Name:SERVICES
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:573-341-8240
Mailing Address - Street 1:411 E HIGHWAY 72
Mailing Address - Street 2:
Mailing Address - City:ROLLA
Mailing Address - State:MO
Mailing Address - Zip Code:65401-4070
Mailing Address - Country:US
Mailing Address - Phone:573-341-8240
Mailing Address - Fax:775-878-0020
Practice Address - Street 1:411 E HIGHWAY 72
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:MO
Practice Address - Zip Code:65401-4070
Practice Address - Country:US
Practice Address - Phone:573-341-8240
Practice Address - Fax:775-878-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare