Organization Name: | SIDESTIX VENTURES USA |
NPI Number: | 1881979722 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARAH JANE DOHERTY (PRESIDENT) |
Mailing Address: | 410 Ida St. West Ste 201 Bremerton |
State: | WA US |
Postal Code: | 98337 |
Phone Number: | 8774647849 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2011 |
NPI Last Update Date: | 04/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 603 138 435 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |