Provider Demographics
NPI:1821453515
Name:TRUSTED NEURO, LLC
Entity Type:Organization
Organization Name:TRUSTED NEURO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROPHYSIOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-782-1184
Mailing Address - Street 1:1308 ROBINSON RD
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-6118
Mailing Address - Country:US
Mailing Address - Phone:866-782-1184
Mailing Address - Fax:877-241-5672
Practice Address - Street 1:1308 ROBINSON RD
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-6118
Practice Address - Country:US
Practice Address - Phone:866-782-1184
Practice Address - Fax:877-241-5672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-22
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Single Specialty