Provider Demographics
NPI:1437316064
Name:HANS-JORG W ROSLER MD LTD
Entity Type:Organization
Organization Name:HANS-JORG W ROSLER MD LTD
Other - Org Name:INTERVENTIONAL PAIN AND SPINE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HANS-JORG
Authorized Official - Middle Name:W
Authorized Official - Last Name:ROSLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-357-8004
Mailing Address - Street 1:851 S RAMPART BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-4883
Mailing Address - Country:US
Mailing Address - Phone:702-357-8004
Mailing Address - Fax:702-357-8005
Practice Address - Street 1:851 S RAMPART BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-4883
Practice Address - Country:US
Practice Address - Phone:702-357-8004
Practice Address - Fax:702-357-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10364174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty