Healthcare Provider Details

I. General information

NPI: 1033543384
Provider Name (Legal Business Name): EINSTEIN EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 08/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E HORIZON DR SUITE B
HENDERSON NV
89015-8033
US

IV. Provider business mailing address

200 E HORIZON DR SUITE B
HENDERSON NV
89015-8033
US

V. Phone/Fax

Practice location:
  • Phone: 702-568-8450
  • Fax:
Mailing address:
  • Phone: 702-568-8450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberNV20131357790
License Number StateNV

VIII. Authorized Official

Name: ISRAEL VILLASENOR
Title or Position: OWNER
Credential: D.C.
Phone: 702-568-8450