Provider Demographics
NPI:1528401841
Name:BURTON WEINERMAN LLC
Entity Type:Organization
Organization Name:BURTON WEINERMAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:BURTON
Authorized Official - Middle Name:MARVIN
Authorized Official - Last Name:WEINERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-492-1646
Mailing Address - Street 1:2522 DARDA ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89044-1588
Mailing Address - Country:US
Mailing Address - Phone:702-492-1646
Mailing Address - Fax:
Practice Address - Street 1:2522 DARDA ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89044-1588
Practice Address - Country:US
Practice Address - Phone:702-492-1646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVE0307212010-1333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies