Provider Demographics
NPI:1891051553
Name:NESE CO
Entity Type:Organization
Organization Name:NESE CO
Other - Org Name:NESE (NESECO)CORPORATION
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:P
Authorized Official - Last Name:PIDGEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-204-3675
Mailing Address - Street 1:8605 MIRADA DEL SOL DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-8207
Mailing Address - Country:US
Mailing Address - Phone:702-363-4684
Mailing Address - Fax:702-363-4684
Practice Address - Street 1:8605 MIRADA DEL SOL DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-8207
Practice Address - Country:US
Practice Address - Phone:702-363-4684
Practice Address - Fax:702-363-4684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-06
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20121223904332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies