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
Phone: (702) 649-1980
Fax: (702) 642-2930
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992816193 | NPPES |
| Nevada | MEDICAID | 20-02530 |
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