=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124336425
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MNO ENTERPRISES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/21/2010
-----------------------------------------------------
Last Update Date | 09/21/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 715 MALL RING CIR SUITE 205
-----------------------------------------------------
City | HENDERSON
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89014-6665
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-990-2225
-----------------------------------------------------
Fax | 702-990-7711
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 715 MALL RING CIR 205
-----------------------------------------------------
City | HENDERSON
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89014-6665
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-990-2225
-----------------------------------------------------
Fax | 702-990-7711
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MICHAEL MINGCHAI CHAI
-----------------------------------------------------
Credential | D.O.
-----------------------------------------------------
Telephone | 801-949-7909
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2081P2900X
-----------------------------------------------------
Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------