Healthcare Provider Details

I. General information

NPI: 1184190472
Provider Name (Legal Business Name): NVOHC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2018
Last Update Date: 10/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3488 GONI RD STE 141
CARSON CITY NV
89706-7970
US

IV. Provider business mailing address

PO BOX 21226
CARSON CITY NV
89721-1226
US

V. Phone/Fax

Practice location:
  • Phone: 775-887-5030
  • Fax: 775-887-5040
Mailing address:
  • Phone: 775-887-5030
  • Fax: 775-887-5040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TONI CORBIERE
Title or Position: ADMINISTRATOR
Credential:
Phone: 775-887-5030