Provider Demographics
NPI:1073270773
Name:EQUALITY PROJECT
Entity Type:Organization
Organization Name:EQUALITY PROJECT
Other - Org Name:HENDERSON WELLNESS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:DAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-955-5428
Mailing Address - Street 1:1490 W SUNSET RD STE 120
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-6635
Mailing Address - Country:US
Mailing Address - Phone:855-955-5428
Mailing Address - Fax:844-389-0835
Practice Address - Street 1:1490 W SUNSET RD STE 120
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-6635
Practice Address - Country:US
Practice Address - Phone:855-955-5428
Practice Address - Fax:844-389-0835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-17
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty