Fajardo, Noel R
Fajardo, Noel R is an sole proprietor health care provider with primary practice located at 3901 S Maryland Pkwy , Las Vegas NV 89119-7537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fajardo, Noel R can be contacted via phone (702) 982-7240.Contact Information
Primary practice address
3901 S Maryland Pkwy
Las Vegas NV 89119-7537
Phone: (702) 982-7240
Fax: (702) 952-5444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 44964 | Minnesota |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 12053 | Nevada |
Profile Details
| NPI number | 1255305520 |
|---|---|
| LBN Legal business name | Fajardo, Noel R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2006 |
| Last updated | May 30th, 2024 - about last year |
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 | 1255305520 | NPPES |
| Minnesota | MEDICAID | 341790500 | |
| Minnesota | MEDICAID | 100511073 |
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