Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAGEAN DAW
Active Sole ProprietorSAGEAN DAW is a Private Vehicle healthcare provider located in CHUBBUCK, Idaho. NPI 1114451390 is currently active in the NPPES registry. Verify at CMS.
Private Vehicle · CHUBBUCK, ID
Registration Details
- NPI Number
- 1114451390
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2017 (9.3445563515528 yrs)
- Last Updated
- Apr 14, 2017
- License
-
EA126126I (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1624 ANGELA STCHUBBUCK, ID, 832024100Browse ID providers · Browse ZIP 83202
- Phone
- 2086808637
- Primary Specialty
-
Private Vehicle
347C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.