Provider Demographics
NPI:1497869788
Name:DCN OF NEVADA INC
Entity Type:Organization
Organization Name:DCN OF NEVADA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:CZEISZPERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-468-9876
Mailing Address - Street 1:125 BELLEVIEW ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT CLEMENS
Mailing Address - State:MI
Mailing Address - Zip Code:48043-2106
Mailing Address - Country:US
Mailing Address - Phone:586-468-9876
Mailing Address - Fax:586-468-0226
Practice Address - Street 1:3950 E SUNSET RD
Practice Address - Street 2:STE 106
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-4905
Practice Address - Country:US
Practice Address - Phone:701-221-7970
Practice Address - Fax:701-221-7972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMP00068332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV0955300002Medicare ID - Type Unspecified