Ezeanolue, Dolue David
Ezeanolue, Dolue David is an individual health care provider with primary practice located at 1701 Bearden Dr Suite 200, Las Vegas NV 89106-4189. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Ezeanolue, Dolue David can be contacted via phone (702) 310-9110.Contact Information
Primary practice address
1701 Bearden Dr Suite 200
Las Vegas NV 89106-4189
Phone: (702) 310-9110
Fax: (702) 310-9114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 8421 | Nevada |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 8421 | Nevada |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 8421 | Nevada |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 8421 | Nevada |
Profile Details
| NPI number | 1700883014 |
|---|---|
| LBN Legal business name | Ezeanolue, Dolue David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Sep 12th, 2017 - about 7 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 | 1700883014 | NPPES |
| Nevada | MEDICAID | 002019939 | |
| Nevada | Other | NV7125 |
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