Provider Demographics
NPI:1073645099
Name:GORBET, STEVEN JOHN (ROLFER)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:JOHN
Last Name:GORBET
Suffix:
Gender:M
Credentials:ROLFER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8452 BOSECK DR
Mailing Address - Street 2:# 247
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-4561
Mailing Address - Country:US
Mailing Address - Phone:702-838-5191
Mailing Address - Fax:
Practice Address - Street 1:3111 S VALLEY VIEW BLVD
Practice Address - Street 2:STE. A-215
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8317
Practice Address - Country:US
Practice Address - Phone:702-889-1850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1000045-521174400000X, 204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered174400000XOther Service ProvidersSpecialist
Not Answered204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1000045-521OtherMASSAGE ESTABLISHMENT