Sunrise Foot And Ankle Llc

LBN: Sunrise Foot And Ankle Llc
Sunrise Foot And Ankle Llc is an health care organization with primary practice located at 4580 S Eastern Ave Ste 30 , Las Vegas NV 89119-6100. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Sunrise Foot And Ankle Llc can be contacted via phone (702) 731-3338, or through Wood, Jeremy Wayne via phone (702) 731-3338.

Contact Information

Primary practice address
4580 S Eastern Ave Ste 30 Las Vegas NV 89119-6100
Phone: (702) 731-3338
Fax: (702) 731-3341
Website:
Map and Directions
Authorized official contact:
Name: Wood, Jeremy Wayne Doctor of Podiatric Medicine (DPM)
Phone: (702) 731-3338

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0307 Nevada

Profile Details

NPI number 1508158536
LBN Legal business name Sunrise Foot And Ankle Llc
DBA Doing business as
Authorized official Wood, Jeremy Wayne Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2011
Last updated Apr 26th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508158536 NPPES
Nevada MEDICAID 100503070

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