MEDICARE: TRAINOR HEALTH OF NEVADA PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZE0600X	Electroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number	:	1225585607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRAINOR HEALTH OF NEVADA PLLC

Provider Business Mailing Address
First Line	:	2816 LA CASITA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3611
Country	:	US
Telephone Number	:	720-503-5711
Fax Number	:	602-926-8841

Provider Business Practice Location Address
First Line	:	2816 LA CASITA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3611
Country	:	US
Telephone Number	:	720-503-5711
Fax Number	:	602-926-8841

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL A TRAINOR
Credential	:
Telephone Number	:	773-793-3279

Provider Enumeration Date	:	09/02/2016
Last Update Date	:	09/02/2016

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