Provider Demographics
NPI:1154555019
Name:ATKINSON, LLC
Entity type:Organization
Organization Name:ATKINSON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:OSKAR
Authorized Official - Middle Name:L
Authorized Official - Last Name:ATKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-591-0307
Mailing Address - Street 1:PO BOX 1287
Mailing Address - Street 2:
Mailing Address - City:MC GILL
Mailing Address - State:NV
Mailing Address - Zip Code:89318-1287
Mailing Address - Country:US
Mailing Address - Phone:775-591-0307
Mailing Address - Fax:
Practice Address - Street 1:2281 AULTMAN ST
Practice Address - Street 2:
Practice Address - City:ELY
Practice Address - State:NV
Practice Address - Zip Code:89301-1831
Practice Address - Country:US
Practice Address - Phone:775-296-1583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0499251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health