Healthcare Provider Details

I. General information

NPI: 1023128410
Provider Name (Legal Business Name): SCOOTERS4LESS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 BAILEY ISLAND DR
HENDERSON NV
89074-8897
US

IV. Provider business mailing address

224 BAILEY ISLAND DR
HENDERSON NV
89074-8897
US

V. Phone/Fax

Practice location:
  • Phone: 702-436-2240
  • Fax: 702-436-2241
Mailing address:
  • Phone: 702-436-2240
  • Fax: 702-436-2241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number232513
License Number StateNV

VIII. Authorized Official

Name: ROBERT P WURSTHORN
Title or Position: OWNER/OPERATOR
Credential:
Phone: 702-436-2240