Provider Demographics
NPI:1740681824
Name:INTERNATIONAL NEUROSCIENCE CONSULTANTS
Entity type:Organization
Organization Name:INTERNATIONAL NEUROSCIENCE CONSULTANTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPANNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-382-1960
Mailing Address - Street 1:716 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-6922
Mailing Address - Country:US
Mailing Address - Phone:702-382-1960
Mailing Address - Fax:
Practice Address - Street 1:716 S 6TH ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-6922
Practice Address - Country:US
Practice Address - Phone:702-382-1960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4594207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV0028026Medicaid
NVA73720Medicare UPIN