Provider Demographics
NPI:1366681777
Name:ROSEMAN UNIVERSITY OF HEALTH SCIENCES
Entity Type:Organization
Organization Name:ROSEMAN UNIVERSITY OF HEALTH SCIENCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:COFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, PHD
Authorized Official - Phone:702-968-2019
Mailing Address - Street 1:11 SUNSET WAY
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2333
Mailing Address - Country:US
Mailing Address - Phone:702-968-2019
Mailing Address - Fax:
Practice Address - Street 1:4 SUNSET WAY
Practice Address - Street 2:BLDG. C
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2015
Practice Address - Country:US
Practice Address - Phone:702-968-5222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-09
Last Update Date:2021-04-14
Deactivation Date:2021-02-12
Deactivation Code:
Reactivation Date:2021-04-14
Provider Licenses
StateLicense IDTaxonomies
NV251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)