Provider Demographics
NPI:1427789205
Name:ESSENTIALS EVERYDAY INC
Entity type:Organization
Organization Name:ESSENTIALS EVERYDAY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MAYO
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:402-202-9559
Mailing Address - Street 1:13501 S 190TH ST
Mailing Address - Street 2:
Mailing Address - City:BENNET
Mailing Address - State:NE
Mailing Address - Zip Code:68317-2294
Mailing Address - Country:US
Mailing Address - Phone:402-202-9559
Mailing Address - Fax:
Practice Address - Street 1:7350 WILLOWBROOK LANE
Practice Address - Street 2:SUITE 100
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-7782
Practice Address - Country:US
Practice Address - Phone:402-202-9559
Practice Address - Fax:402-500-3767
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ESSENTIALS EVERYDAY INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-22
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty