Provider Demographics
NPI:1730580986
Name:EASE MOBILE ANESTHESIA LLC
Entity type:Organization
Organization Name:EASE MOBILE ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNA PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:G
Authorized Official - Last Name:JANORSCHKE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:320-493-8900
Mailing Address - Street 1:36497 230TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:MN
Mailing Address - Zip Code:56307-9640
Mailing Address - Country:US
Mailing Address - Phone:320-493-8900
Mailing Address - Fax:877-253-3273
Practice Address - Street 1:36497 230TH AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:MN
Practice Address - Zip Code:56307-9640
Practice Address - Country:US
Practice Address - Phone:320-493-8900
Practice Address - Fax:877-253-3273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty