Michael'S Integrated Medical Group PLLC
Physical Medicine & Rehabilitation in Pahrump, NV. Organization (NPI-2).
NPI number1982259040
StatusActive
Last updated in NPPESOct 6, 2020
Details
- NPI
- 1982259040
- Entity type
- Organization (NPI-2)
- Legal business name
- Michael'S Integrated Medical Group PLLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2019
- Certification date
- Oct 6, 2020
- Last updated
- Oct 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
| 111N00000X | Chiropractor | – | – |
Other names
- Pahrump Spine And Wellness (Doing Business As)
Practice location
2780 Homestead Rd Ste 104Pahrump, NV 89048-5464
Phone 775-727-7959 · Fax 775-727-7960
Mailing address
2780 Homestead Rd Ste 105Pahrump, NV 89048-5464
Phone 775-727-7959 · Fax 775-727-7960
Authorized official
Michael A Jonak
Medical Director/Owner
7757277959
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