Provider Demographics
NPI:1265937221
Name:MICHAEL SCHNEIER NEUROSURGICAL CONSULTING, P.C.
Entity type:Organization
Organization Name:MICHAEL SCHNEIER NEUROSURGICAL CONSULTING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:E
Authorized Official - Last Name:KINCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-401-4483
Mailing Address - Street 1:10105 BANBURRY CROSS DR STE 445
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-6645
Mailing Address - Country:US
Mailing Address - Phone:702-475-8454
Mailing Address - Fax:702-509-9865
Practice Address - Street 1:10105 BANBURRY CROSS DR STE 445
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-6645
Practice Address - Country:US
Practice Address - Phone:702-475-8454
Practice Address - Fax:702-509-9865
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MICHAEL SCHNEIER NEUROSURGICAL CONSULTING P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-29
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV14728207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty