Faylona, Edgardo Averion

Faylona, Edgardo Averion is an individual health care provider with primary practice located at 2300 W Charleston Blvd , Las Vegas NV 89102-2149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Faylona, Edgardo Averion can be contacted via phone (702) 724-8787.

Contact Information

Primary practice address
2300 W Charleston Blvd Las Vegas NV 89102-2149
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 6872 Nevada

Profile Details

NPI number 1083611362
LBN Legal business name Faylona, Edgardo Averion
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Feb 21st, 2024 - about 7 months 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 1083611362 NPPES
Nevada Other 830003909 RAILROAD MEDICARE
Nevada MEDICAID 002019348 RAILROAD MEDICARE
Nevada MEDICAID 453457 RAILROAD MEDICARE

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