1730450537 NPI number — SISTER 2 SISTER CONNECTIONS INC

Table of content: (NPI 1730450537)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730450537 NPI number — SISTER 2 SISTER CONNECTIONS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SISTER 2 SISTER CONNECTIONS 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:
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:
1730450537
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/25/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7251 W LAKE MEAD BLVD
Provider Second Line Business Mailing Address:
#343
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89128-8351
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-277-2875
Provider Business Mailing Address Fax Number:
866-538-2257

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5546 CAMINO EL NORTE
Provider Second Line Business Practice Location Address:
#2-193
Provider Business Practice Location Address City Name:
NORTH LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-277-2875
Provider Business Practice Location Address Fax Number:
866-538-2257
Provider Enumeration Date:
01/25/2012

Additional Information

Authorized Official

Authorized Official Last Name:
HENDRIX
Authorized Official First Name:
ALISHA
Authorized Official Middle Name:
NICOLE
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
866-277-2875

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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