Provider Demographics
NPI:1548028319
Name:PROSPEROUS MEDICAL BILLING AND CONSULTING, LLC
Entity type:Organization
Organization Name:PROSPEROUS MEDICAL BILLING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVUNI
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-710-2020
Mailing Address - Street 1:400 N MOUNTAIN AVE STE 237
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-5189
Mailing Address - Country:US
Mailing Address - Phone:909-710-2020
Mailing Address - Fax:909-710-2021
Practice Address - Street 1:400 N MOUNTAIN AVE STE 237
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-5189
Practice Address - Country:US
Practice Address - Phone:909-710-2020
Practice Address - Fax:909-710-2021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service