Provider Demographics
NPI:1164603080
Name:SIERRA HEALTH CONCERN, INC.
Entity Type:Organization
Organization Name:SIERRA HEALTH CONCERN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ROVETTI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-324-3700
Mailing Address - Street 1:5365 MAE ANNE AVE
Mailing Address - Street 2:STE B-2
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-1840
Mailing Address - Country:US
Mailing Address - Phone:775-324-3700
Mailing Address - Fax:775-324-2370
Practice Address - Street 1:5365 MAE ANNE AVE
Practice Address - Street 2:STE. B-2
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-1840
Practice Address - Country:US
Practice Address - Phone:775-324-3700
Practice Address - Fax:775-324-2370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB-00317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV102264Medicare PIN