Provider Demographics
NPI:1285036517
Name:NEXTGEN WOUND SOLUTIONS, LLC
Entity Type:Organization
Organization Name:NEXTGEN WOUND SOLUTIONS, LLC
Other - Org Name:HEALGENIX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:NISSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-789-7583
Mailing Address - Street 1:88 INVERNESS CIR E UNIT K103
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5528
Mailing Address - Country:US
Mailing Address - Phone:720-789-7583
Mailing Address - Fax:
Practice Address - Street 1:88 INVERNESS CIR E UNIT K103
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5528
Practice Address - Country:US
Practice Address - Phone:720-789-7583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies