Healthcare Provider Details

I. General information

NPI: 1124336425
Provider Name (Legal Business Name): MNO ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2010
Last Update Date: 09/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 MALL RING CIR SUITE 205
HENDERSON NV
89014-6665
US

IV. Provider business mailing address

715 MALL RING CIR 205
HENDERSON NV
89014-6665
US

V. Phone/Fax

Practice location:
  • Phone: 702-990-2225
  • Fax: 702-990-7711
Mailing address:
  • Phone: 702-990-2225
  • Fax: 702-990-7711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL MINGCHAI CHAI
Title or Position: PRESIDENT
Credential: D.O.
Phone: 801-949-7909