Provider Demographics
NPI:1023224706
Name:COTTRELL HIRSCHFELD & JORDAN LLP
Entity type:Organization
Organization Name:COTTRELL HIRSCHFELD & JORDAN LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-228-8600
Mailing Address - Street 1:7200 W CATHEDRAL ROCK DR
Mailing Address - Street 2:STE #130
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128
Mailing Address - Country:US
Mailing Address - Phone:702-228-8600
Mailing Address - Fax:702-228-8689
Practice Address - Street 1:7200 W CATHEDRAL ROCK DR
Practice Address - Street 2:STE #130
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128
Practice Address - Country:US
Practice Address - Phone:702-228-8600
Practice Address - Fax:702-228-8689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C16971Medicare UPIN
NVV36351Medicare ID - Type Unspecified
NV36351Medicare PIN