Organization Name: | INTERNATIONAL NEURAL-RENEWAL INC |
NPI Number: | 1336416726 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDITH ANN MILLER (DIRECTOR) |
Mailing Address: | 356 E Elkhorn Ave Estes Park |
State: | CO US |
Postal Code: | 80517 |
Phone Number: | 9705863301 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2011 |
NPI Last Update Date: | 11/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2472E0500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Other |
Taxonomy Specialization: | EEG |
Taxonomy Definition: |