| Canada Mso Llc | |
|
8879 W Flamingo Rd Ste 101 Las Vegas NV 89147-8732 | |
| (702) 646-1150 | |
| Not Available |
| Full Name | Canada Mso Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8879 W Flamingo Rd Ste 101, Las Vegas, Nevada |
| Authorized Official Name and Position | Nicole Lee Harmel-canada (OWNER) |
| Authorized Official Contact | 5639403806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canada Mso Llc 8879 W Flamingo Rd Ste 101 Las Vegas NV 89147-8732 Ph: (702) 646-1150 | Canada Mso Llc 8879 W Flamingo Rd Ste 101 Las Vegas NV 89147-8732 Ph: (702) 646-1150 |
| NPI Number | 1699336180 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 06/25/2019 |
| Medicare PECOS PAC ID | 8527499367 |
|---|---|
| Medicare Enrollment ID | O20200601001702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699336180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Nicole L Harmel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811092240 PECOS PAC ID: 9436196862 Enrollment ID: I20180726001798 |
| Provider Name | Ricardo Asuncion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336782036 PECOS PAC ID: 6901236496 Enrollment ID: I20200424000262 |
| Provider Name | Marilyn A Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578148680 PECOS PAC ID: 8426465972 Enrollment ID: I20210329001607 |
| Provider Name | Michelle Bastarache |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053912790 PECOS PAC ID: 0840609418 Enrollment ID: I20210511002686 |
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