Provider Demographics
NPI:1013271857
Name:K SASSE SURGICAL ASSOCIATES, PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:K SASSE SURGICAL ASSOCIATES, PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:C
Authorized Official - Last Name:SASSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-829-7999
Mailing Address - Street 1:75 PRINGLE WAY
Mailing Address - Street 2:SUITE 804
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-8400
Mailing Address - Country:US
Mailing Address - Phone:775-829-7999
Mailing Address - Fax:775-829-7970
Practice Address - Street 1:75 PRINGLE WAY
Practice Address - Street 2:SUITE 804
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-8400
Practice Address - Country:US
Practice Address - Phone:775-829-7999
Practice Address - Fax:775-829-7970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9336208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty