1164482469 NPI number — NEVADA SEATING & MOBILITY, INC.

Table of content: (NPI 1164482469)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164482469 NPI number — NEVADA SEATING & MOBILITY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEVADA SEATING & MOBILITY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164482469
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/12/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1475 OLD HOT SPRINGS RD STE 1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARSON CITY
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89706-1467
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-887-1955
Provider Business Mailing Address Fax Number:
775-887-1956

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1475 OLD HOT SPRINGS RD
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
CARSON CITY
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89706-1467
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-887-1955
Provider Business Practice Location Address Fax Number:
775-887-1956
Provider Enumeration Date:
03/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KUZBYT
Authorized Official First Name:
STAR
Authorized Official Middle Name:
Authorized Official Title or Position:
BUSINESS OFFICE MANAGER
Authorized Official Telephone Number:
775-887-1955

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X , with the licence number:  MP00253 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100503466 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100503364 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".




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