1780105536 NPI number — GLOBAL SURGICAL SOLUTIONS PLLC

Table of content: DESIREE RENAE MCCLANAHAN DPT (NPI 1437400199)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780105536 NPI number — GLOBAL SURGICAL SOLUTIONS PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GLOBAL SURGICAL SOLUTIONS PLLC
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:
1780105536
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/02/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1040 WIGWAM PKWY STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HENDERSON
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89074-8172
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-852-1888
Provider Business Mailing Address Fax Number:
702-829-8399

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1040 WIGWAM PKWY STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HENDERSON
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89074-8172
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-852-1888
Provider Business Practice Location Address Fax Number:
702-829-8399
Provider Enumeration Date:
07/02/2017

Additional Information

Authorized Official

Authorized Official Last Name:
OFIKWU
Authorized Official First Name:
GODWIN
Authorized Official Middle Name:
INALEGWU
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
702-852-1888

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  16681 ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208C00000X , with the licence number: 16681 , 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)





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