Bettencourt, Miriam S

Bettencourt, Miriam S is an sole proprietor health care provider with primary practice located at 6170 N Durango Dr Ste 140 , Las Vegas NV 89149-3926. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Bettencourt, Miriam S can be contacted via phone (702) 430-5333.

Contact Information

Primary practice address

6170 N Durango Dr Ste 140 Las Vegas NV 89149-3926

Phone: (702) 430-5333

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Dermatology	207N00000X	10084	Nevada

Profile Details

NPI number	1013934967
LBN Legal business name	Bettencourt, Miriam S
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Jul 16th, 2006
Last updated	Jan 19th, 2023 - about last year

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

State	Type	Number	Issuer
All States	NPI	1013934967	NPPES
Nevada	MEDICAID	002018117

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