Provider Demographics
NPI:1689738981
Name:CHILDREN'S BONE AND SPINE SURGERY, LLP
Entity Type:Organization
Organization Name:CHILDREN'S BONE AND SPINE SURGERY, LLP
Other - Org Name:CHILDRENS BONE AND SPINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:CAMP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-434-6920
Mailing Address - Street 1:1525 E. WINDMILL LN
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-1903
Mailing Address - Country:US
Mailing Address - Phone:702-434-6920
Mailing Address - Fax:702-434-1524
Practice Address - Street 1:1525 E. WINDMILL LN
Practice Address - Street 2:SUITE 201
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-1903
Practice Address - Country:US
Practice Address - Phone:702-434-6920
Practice Address - Fax:702-434-1524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty