Provider Demographics
NPI:1730484882
Name:ORTHOPAEDIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:ORTHOPAEDIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-475-4390
Mailing Address - Street 1:10624 S EASTERN AVE
Mailing Address - Street 2:SUITE A-963
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2982
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2779 W HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4184
Practice Address - Country:US
Practice Address - Phone:702-475-4390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-21
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty