Organization
PAIN CENTER OF HENDERSON LLC
Active
Other names
Pain Center of Henderson
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN L. OLENCHAK PA-C (PROVIDER, OWNER)
(702) 476-5552
Entity
Organization
Contact information
Practice address
98 E. LAKE MEAD PKWY. SUITE 202, HENDERSON, NV 89015
(702) 476-5552
(702) 476-5181
Mailing address
98 E. LAKE MEAD PKWY., SUITE 202, HENDERSON, NV 89015
(702) 476-5552
(702) 476-5181
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12432512
CAQH
—
Enumeration date
04/18/2018
Last updated
03/06/2019
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