Fouse, Matthew Nolan

Fouse, Matthew Nolan is an individual health care provider with primary practice located at 2800 E Desert Inn Rd Suite #100, Las Vegas NV 89121-3608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Fouse, Matthew Nolan can be contacted via phone (702) 731-1616.

Contact Information

Primary practice address
2800 E Desert Inn Rd Suite #100 Las Vegas NV 89121-3608
Phone: (702) 731-1616
Fax: (702) 734-4900
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 12206 Nevada

Profile Details

NPI number 1306898119
LBN Legal business name Fouse, Matthew Nolan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 9th, 2018 - about 6 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 1306898119 NPPES
Nevada MEDICAID 100512161
Nevada Other NV4937
Nevada Other 7417894
Nevada Other 103890

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