Cearlock, Jody Randell
Cearlock, Jody Randell is an individual health care provider with primary practice located at 2950 S Maryland Pkwy , Las Vegas NV 89109-2204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cearlock, Jody Randell can be contacted via phone (702) 732-6000.Contact Information
Primary practice address
2950 S Maryland Pkwy
Las Vegas NV 89109-2204
Phone: (702) 732-6000
Fax: (702) 243-7531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 8471 | Nevada |
Profile Details
| NPI number | 1245230713 |
|---|---|
| LBN Legal business name | Cearlock, Jody Randell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Dec 3rd, 2010 - about 14 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 | 1245230713 | NPPES |
| Nevada | MEDICAID | 200262814 |
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