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Contact Information

NU WAVE ESWT, LLC
4510 WEST DIABLO AVE
SUITE A110
LAS VEGAS, NV89118
 Phone: 702-948-0604
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for NU WAVE ESWT, LLC

NPI # 1245479773
LBN Legal business name NU WAVE ESWT, LLC
Authorized official JERRY BALLOW - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2009
Last updated 02/06/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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