Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Electroneurodiagnostic |
246ZE0600X |
| NPI # | 1780174169 |
| LBN Legal business name | NERVEPRO |
| Authorized official | MELISSA HANLEY - (AGENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/11/2018 |
| Last updated | 06/16/2018 - About 8 years ago |
| Identifiers | n/a |
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