1849 LLC
Surgery, Surgery of the Hand in Henderson, NV. Organization (NPI-2).
NPI number1386967420
StatusActive
Last updated in NPPESMar 3, 2010
Details
- NPI
- 1386967420
- Entity type
- Organization (NPI-2)
- Legal business name
- 1849 LLC
- Organization subpart
- No
- Enumeration date
- Mar 3, 2010
- Last updated
- Mar 3, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0105X | Surgery, Surgery of the Hand | 12562 | NV | Yes |
Other names
- Jonanthan R. Sorelle M.D. (Doing Business As)
Practice location
11 W Pacific AveHenderson, NV 89015-7304
Phone 702-568-0007 · Fax 702-568-6299
Mailing address
Po Box 33292Las Vegas, NV 89133-3292
Phone 702-568-0007 · Fax 702-568-6299
Authorized official
Jonathan Richard Sorelle
Manager
7025680007
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