Addo-Quaye, Bernard K.

Addo-Quaye, Bernard K. is an individual health care provider with primary practice located at 1815 E Lake Mead Blvd Suite 210, N Las Vegas NV 89030-7187. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Addo-Quaye, Bernard K. can be contacted via phone (702) 657-6365.

Contact Information

Primary practice address
1815 E Lake Mead Blvd Suite 210 N Las Vegas NV 89030-7187
Phone: (702) 657-6365
Fax: (702) 657-6704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9413 Nevada
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M5999 Texas

Profile Details

NPI number 1922009208
LBN Legal business name Addo-Quaye, Bernard K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 15th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922009208 NPPES
Nevada MEDICAID 002018398
Nevada MEDICAID 003102438

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