Healthcare Provider Details

I. General information

NPI: 1235849480
Provider Name (Legal Business Name): DOYLE ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2022
Last Update Date: 11/29/2022
Certification Date: 11/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4235 S FORT APACHE RD STE 150
LAS VEGAS NV
89147-8805
US

IV. Provider business mailing address

4235 S FORT APACHE RD STE 150
LAS VEGAS NV
89147-8805
US

V. Phone/Fax

Practice location:
  • Phone: 702-222-3651
  • Fax: 702-222-9414
Mailing address:
  • Phone: 702-222-3651
  • Fax: 702-222-9414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. DUSTIN L DOYLE
Title or Position: OWNER
Credential: HAS-0514
Phone: 702-222-3651