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Contact Information

BLAIR HENDERSHOT, DPM
3777 PECOS MCLEOD STE 103
LAS VEGAS, NV89121-4265
 Phone: 702-324-2713
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Assistant, Podiatric

211D00000X
Indicates primary specialty

NPI Profile & details for BLAIR HENDERSHOT · (Male)

NPI # 1881048205
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/21/2016
Last updated 06/17/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 2052
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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