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Contact Information

PA DER CHA
3850 LAS VEGAS BLVD S
LAS VEGAS, NV89109-4324
 Phone: 952-222-2222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health

213EP0504X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PA DER CHA · (Female)

NPI # 1609268697
Status Active
Credentials
Entity Individual
Enumeration date 02/27/2015
Last updated 08/10/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 123456
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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