Provider Demographics
NPI:1972632784
Name:CROVETTI BONE AND JOINT INSTITUTE
Entity Type:Organization
Organization Name:CROVETTI BONE AND JOINT INSTITUTE
Other - Org Name:THE BONE AND JOINT INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CROVETTI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:702-990-2290
Mailing Address - Street 1:880 SEVEN HILLS DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4371
Mailing Address - Country:US
Mailing Address - Phone:702-990-2290
Mailing Address - Fax:702-990-2297
Practice Address - Street 1:880 SEVEN HILLS DR
Practice Address - Street 2:SUITE 140
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4371
Practice Address - Country:US
Practice Address - Phone:702-990-2290
Practice Address - Fax:702-990-2297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV834174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1033269147OtherNPI INDIVIDUAL NUMBER
NV1417007345OtherNPI INDIVIDUAL NUMBER
NV1891845947OtherNPI INDIVIDUAL NUMBER
NV1114077278OtherNPI INDIVIDUAL NUMBER