Ang, Jesse
Ang, Jesse is an individual health care provider with primary practice located at 2212 S Eastern Ave , Las Vegas NV 89104-4124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ang, Jesse can be contacted via phone (702) 735-9334.Contact Information
Primary practice address
2212 S Eastern Ave
Las Vegas NV 89104-4124
Phone: (702) 735-9334
Fax: (702) 735-9335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 11512 | Nevada |
Profile Details
| NPI number | 1891863718 |
|---|---|
| LBN Legal business name | Ang, Jesse |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jan 7th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891863718 | NPPES |
| Nevada | Other | 11512 | MEDICAL LICENSE |
| Nevada | MEDICAID | 1891863718 | MEDICAL LICENSE |
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