Berthoty, Dean P
Berthoty, Dean P is an individual health care provider with primary practice located at 3186 S Maryland Pkwy , Las Vegas NV 89109-2317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Berthoty, Dean P can be contacted via phone (702) 942-4123.Contact Information
Primary practice address
3186 S Maryland Pkwy
Las Vegas NV 89109-2317
Phone: (702) 942-4123
Fax: (702) 942-4124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 5656 | Nevada |
Profile Details
| NPI number | 1366420390 |
|---|---|
| LBN Legal business name | Berthoty, Dean P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Jan 11th, 2013 - about 11 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 | 1366420390 | NPPES |
| Other | 300047405 | RR MEDICARE | |
| MEDICAID | 200290211 | RR MEDICARE | |
| Other | NV5656 | RR MEDICARE |
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