Chock, Stefan Nathan

Chock, Stefan Nathan is an individual health care provider with primary practice located at 3131 La Canada St Ste 217 , Las Vegas NV 89169-2579. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Chock, Stefan Nathan can be contacted via phone (702) 369-7152.

Contact Information

Primary practice address
3131 La Canada St Ste 217 Las Vegas NV 89169-2579
Phone: (702) 369-7152
Fax: (702) 369-7153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 11562 Nevada
Allopathic & Osteopathic Physicians / Surgery 208600000X 11562 Nevada

Profile Details

NPI number 1811966062
LBN Legal business name Chock, Stefan Nathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Apr 10th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811966062 NPPES
Arizona MEDICAID 975089
Arizona MEDICAID 100507449
Arizona MEDICAID XPY205017

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