Provider Demographics
NPI:1649577875
Name:NEUROWAVE MONITORING, INC.
Entity Type:Organization
Organization Name:NEUROWAVE MONITORING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-419-6197
Mailing Address - Street 1:1541 PARKWAY LOOP
Mailing Address - Street 2:H
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-6526
Mailing Address - Country:US
Mailing Address - Phone:949-419-6197
Mailing Address - Fax:714-247-0094
Practice Address - Street 1:1541 PARKWAY LOOP
Practice Address - Street 2:H
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-6526
Practice Address - Country:US
Practice Address - Phone:949-419-6197
Practice Address - Fax:714-247-0094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty