1588249320 NPI number — KETAMINE WELLNESS CENTERS LAS VEGAS

Table of content: (NPI 1588249320)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588249320 NPI number — KETAMINE WELLNESS CENTERS LAS VEGAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KETAMINE WELLNESS CENTERS LAS VEGAS
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:
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:
1588249320
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/12/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
113 W HOOVER AVE STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MESA
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85210-5214
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-788-8539
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7375 S PECOS RD STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89120-3773
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-788-8539
Provider Business Practice Location Address Fax Number:
844-538-9355
Provider Enumeration Date:
03/12/2021

Additional Information

Authorized Official

Authorized Official Last Name:
JERGER
Authorized Official First Name:
ANITA
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE ASSISTANT
Authorized Official Telephone Number:
855-538-9355

Provider Taxonomy Codes

  • Taxonomy code: 207LP2900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com