Provider Demographics
NPI:1922442029
Name:RETRAINER INC.
Entity Type:Organization
Organization Name:RETRAINER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SIEBEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-466-7712
Mailing Address - Street 1:6045 POOH CORNER COURT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110
Mailing Address - Country:US
Mailing Address - Phone:801-636-7550
Mailing Address - Fax:702-988-8812
Practice Address - Street 1:6045 POOH CORNER COURT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110
Practice Address - Country:US
Practice Address - Phone:801-636-7500
Practice Address - Fax:702-988-8812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-19
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies