Provider Demographics
NPI:1558968420
Name:NEURO HEALTH LLC
Entity Type:Organization
Organization Name:NEURO HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:SPINOSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-805-1425
Mailing Address - Street 1:7455 W WASHINGTON AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-4349
Mailing Address - Country:US
Mailing Address - Phone:702-805-1425
Mailing Address - Fax:
Practice Address - Street 1:7455 W WASHINGTON AVE STE 140
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-4349
Practice Address - Country:US
Practice Address - Phone:702-805-1425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty