BACK IN STEP; NPI #1912362245

Contact Information

BACK IN STEP

2820 W CHARLESTON BLVD STE 32
LAS VEGAS, NV 89102-1934

Phone: 702-850-2898
Fax: 702-850-2836
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist

Indicates primary specialty

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NPI Profile & details for BACK IN STEP

NPI Number 1912362245

LBN Legal business name BACK IN STEP

Authorized official CYNTHEA CLARK - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/31/2015

Last updated 12/23/2016 - About 9 years ago

Identifiers

License #

NV20151659970

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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BACK IN STEP

Contact Information

Specialty

Prosthetic/Orthotic Supplier

NPI Profile & details for BACK IN STEP

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