Provider Demographics
NPI:1609949825
Name:SOBIEK AND HUENE ORTHOPEDIC SURGICAL ASSOCIATES, A P.C.
Entity Type:Organization
Organization Name:SOBIEK AND HUENE ORTHOPEDIC SURGICAL ASSOCIATES, A P.C.
Other - Org Name:ORTHOPEDIC SURGICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACKELYN
Authorized Official - Middle Name:F
Authorized Official - Last Name:SHOUPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-329-8423
Mailing Address - Street 1:85 KIRMAN AVE
Mailing Address - Street 2:SUITE #303
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1339
Mailing Address - Country:US
Mailing Address - Phone:775-329-8423
Mailing Address - Fax:775-329-7993
Practice Address - Street 1:85 KIRMAN AVE
Practice Address - Street 2:SUITE #303
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1339
Practice Address - Country:US
Practice Address - Phone:775-329-8423
Practice Address - Fax:775-329-7993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7126207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VWJBCVOtherMEDICARE PTAN