Provider Demographics
NPI:1134369721
Name:ASAP PLUS INC.
Entity type:Organization
Organization Name:ASAP PLUS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHB/PRES.
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SISCO
Authorized Official - Suffix:III
Authorized Official - Credentials:BS
Authorized Official - Phone:606-437-0097
Mailing Address - Street 1:122 DIVISION ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-1116
Mailing Address - Country:US
Mailing Address - Phone:606-437-0097
Mailing Address - Fax:
Practice Address - Street 1:122 DIVISION ST
Practice Address - Street 2:SUITE 202
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-1116
Practice Address - Country:US
Practice Address - Phone:606-437-0097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY810148251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health