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Contact Information

BENNETT VITUG, DO
10624 S EASTERN AVE # A-955
HENDERSON, NV89052-2982
 Phone: 702-407-7700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BENNETT VITUG · (Male)

NPI Number 1154987139
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/15/2019
Last updated 08/18/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • NV License # DO3038
  • NV Medicaid 1154987139
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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