Provider Demographics
NPI:1659739878
Name:NORRIS, JOSEPH (BOCO)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:NORRIS
Suffix:
Gender:M
Credentials:BOCO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 HOT SPRINGS RD STE 5
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-1626
Mailing Address - Country:US
Mailing Address - Phone:775-849-0244
Mailing Address - Fax:
Practice Address - Street 1:10051 LAKE AVE
Practice Address - Street 2:
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-0445
Practice Address - Country:US
Practice Address - Phone:530-587-7461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
Provider Identifiers
StateIdentifier IDID TypeIssuer
C52332OtherBOC