Doctor Name: | MR. JOEL SAGE |
NPI Number: | 1295022499 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ECHM |
License Number: | |
Business Practice Address: | 485 Walmar Drive Bay Village, OH - 44140 |
Business Phone Number: | 4408715555 |
Business Fax Number: | 4408715555 |
Mailing Address: | 485 Walmar Rd, BAY VILLAGE |
State: | OH |
Postal Code: | 441401521 |
Phone Number: | 4408715555 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2011 |
NPI Last Update Date: | 07/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |