Fabella, Sotero Festin

Fabella, Sotero Festin is an individual health care provider with primary practice located at 1905 Mcdaniel St Ste 102, North Las Vegas NV 89030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fabella, Sotero Festin can be contacted via phone (702) 649-1980.

Contact Information

Primary practice address
1905 Mcdaniel St Ste 102 North Las Vegas NV 89030
Fax: (702) 642-2930
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X NV4047 Nevada

Profile Details

NPI number 1992816193
LBN Legal business name Fabella, Sotero Festin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 19 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 1992816193 NPPES
Nevada MEDICAID 20-02530

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