Bralliar, Richard J
Bralliar, Richard J is an sole proprietor health care provider with primary practice located at 2445 Fire Mesa St 270, Las Vegas NV 89128-9014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bralliar, Richard J can be contacted via phone (702) 876-9330.Contact Information
Primary practice address
2445 Fire Mesa St 270
Las Vegas NV 89128-9014
Phone: (702) 876-9330
Fax: (702) 876-9061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 815 | Nevada |
Profile Details
| NPI number | 1578520896 |
|---|---|
| LBN Legal business name | Bralliar, Richard J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2006 |
| Last updated | May 2nd, 2024 - about 7 months 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 | 1578520896 | NPPES |
| Nevada | MEDICAID | 002019185 |
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